Individual
MR. BLAISE E SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
31 SEYMOUR STREET, SUITE 201, HARTFORD, CT 06106
(860) 430-2176
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000732
CT
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
02/03/2020
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