Individual
DR. ELIZABETH A BLAZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102
(207) 662-3714
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-231914
MA
208600000X
Surgery Physician
Primary
MD20129
ME
Other
Enumeration date
06/15/2007
Last updated
05/21/2014
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