Individual
DR. ALEX EDWARD BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, YNHH AND PEDIATRICS, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, YALE NEW HAVEN HOSPITAL DEPARTMENT OF PEDIATRICS, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
287903
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110212255A
—
MA
Enumeration date
05/18/2018
Last updated
10/28/2024
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