Individual
DR. BLAZE SEKOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1325
(208) 422-1319
Mailing address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1325
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
152495-1
NY
207RC0000X
Cardiovascular Disease Physician
Primary
M-16757
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010161801
UNIVERA
NY
01
—
000505274002
HEALTH NOW
NY
01
—
0021748
GHI
NY
05
—
01474139
—
NY
01
—
110084830
RR MEDICARE
NY
01
—
161000580
EMPIRE
NY
01
—
2105974
IHA
NY
Enumeration date
05/08/2006
Last updated
09/29/2022
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