Individual
DR. BLAISE A AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 MILL ST, EAST HOUSE, BELMONT, MA 02478-1041
(617) 855-3331
Mailing address
17 WINTHROP RD, LEXINGTON, MA 02421-5645
(617) 855-3331
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
77954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310944
—
MA
Enumeration date
03/17/2006
Last updated
07/08/2007
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