Individual
CODY BLATTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1011 REED AVE STE 300, WYOMISSING, PA 19610-2002
(610) 374-4401
Mailing address
1671 W POINT PIKE UNIT A, LANSDALE, PA 19446-5629
(267) 642-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA066238
PA
363A00000X
Physician Assistant
Primary
MA066238
PA
Other
Enumeration date
04/01/2025
Last updated
02/25/2026
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