Individual
MARINA RODZIANKO BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 HARRISON AVE, BOSTON, MA 02111-1817
(617) 636-0405
Mailing address
16 COGSWELL AVE, CAMBRIDGE, MA 02140-2001
(845) 545-1012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1171439
MA
Other
Enumeration date
02/21/2020
Last updated
04/07/2026
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