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Individual

MICHELLE BLITZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(339) 222-3114
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(339) 222-3114

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA7262
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/09/2019
Last updated
12/14/2020
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