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Organization

RAYMOND PAUL-BLANC, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND PAUL-BLANC M.D. (PRESIDENT)
(508) 339-3600
Entity
Organization

Contact information

Practice address
16 CREEDEN ST, #4, MANSFIELD, MA 02048-1212
(508) 339-3600
(508) 339-3831
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9781901
MA
Enumeration date
01/02/2007
Last updated
10/18/2011
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