Individual
DR. CHARLES LEE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 FARMINGTON AVE STE 217B, WEST HARTFORD, CT 06119-1545
(860) 523-1451
(860) 523-1437
Mailing address
836 FARMINGTON AVE STE 217B, WEST HARTFORD, CT 06119-1545
(860) 523-1451
(860) 523-1437
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024703
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010024703CT02
ANTHEM ID NUMBER
CT
05
—
1247030
—
CT
Enumeration date
02/05/2007
Last updated
02/17/2023
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