Individual
DR. JONATHAN BLASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
192529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454475
—
NY
Enumeration date
10/20/2005
Last updated
11/11/2008
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