Individual
DR. JUNE M BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
604 MAIN ST, SHREWSBURY, MA 01545-5663
(508) 842-0057
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155997
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3180883
—
MA
Enumeration date
11/15/2005
Last updated
11/05/2020
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