Individual
JOHN BLANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1503 LANSDOWNE AVE, STE 3001, DARBY, PA 19023-1330
(610) 586-4100
(610) 586-4114
Mailing address
1503 LANSDOWNE AVE, STE 3001, DARBY, PA 19023-1330
(610) 586-4100
(610) 586-4114
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019872E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007457350008
—
PA
Enumeration date
06/16/2005
Last updated
07/09/2007
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