Individual
DR. JODY S. BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-3839
(781) 744-1597
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-3839
(781) 744-1597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220434
MA
208M00000X
Hospitalist Physician
Primary
220434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110038276A
—
MA
Enumeration date
06/08/2006
Last updated
11/11/2010
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