Individual
DR. GARY BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 MAIN ST STE 402, NORWALK, CT 06854
(203) 842-2894
(203) 635-5349
Mailing address
149 MAIN ST STE 402, NORWALK, CT 06854
(203) 842-2894
(203) 635-5349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27524
CT
207RI0200X
Infectious Disease Physician
027524
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001275247
—
CT
05
—
02555264
—
NY
Enumeration date
11/14/2006
Last updated
12/04/2025
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