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Individual

JUDITH BLAZAR WESTRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905-2426
(401) 444-5685
(401) 444-6115
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08146
RI
2080A0000X
Pediatric Adolescent Medicine Physician
MD08146
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2071631
MA
05
7004209
RI
Enumeration date
06/27/2005
Last updated
12/22/2025
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