Individual
COLIN BLANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
(215) 298-3298
Mailing address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PRF000496
PA
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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