Individual
CHARLES A BLOTNICK
Active
Individual
CHARLES A BLOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21278
SC
207W00000X
Ophthalmology Physician
Primary
9901116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212781
—
SC
05
—
891229K
—
NC
Enumeration date
03/16/2006
Last updated
01/03/2013
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