Individual
DR. BART FREDERICK BLAESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
6 ESSEX CENTER DR, SUITE 112, PEABODY, MA 01960-2910
(978) 531-1450
(978) 531-9984
Mailing address
732 MAIN ST, BOXFORD, MA 01921-1126
(978) 531-1450
(978) 531-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18545
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16588
PILGRIM
MA
01
—
203656
TUFTS
MA
01
—
X07909
BCBS
MA
Enumeration date
11/05/2005
Last updated
04/13/2010
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