Individual
DR. KENNETH PAUL BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 LOCUST AVE, DANBURY, CT 06810-6032
(203) 748-6000
(203) 748-6771
Mailing address
29 GROVE AVE, MADISON, CT 06443-3257
(203) 733-6582
(203) 748-6771
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
024414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001244144
—
CT
Enumeration date
08/09/2006
Last updated
07/15/2022
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