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Individual

DR. STEVEN BLAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
(401) 728-3920
Mailing address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
(401) 728-3920

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7137
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780672709
ORGANIZATION NPI #
Enumeration date
06/05/2006
Last updated
02/13/2008
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