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Individual

DR. SETH BARAK BLATTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Mailing address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
219909
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001443324
CT
Enumeration date
05/24/2006
Last updated
11/17/2010
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