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Individual

GREGORY E BLACKMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
271 CAREW ST, DEPARTMENT OF RADIOLOGY, MERCY MEDICAL CENTER, SPRINGFIELD, MA 01104-2377
(413) 748-9200
Mailing address
756 LONGMEADOW ST, LONGMEADOW, MA 01106-2245
(413) 565-2164

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76232
MA
2085R0204X
Vascular & Interventional Radiology Physician
76232
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0107867
MA
Enumeration date
05/20/2006
Last updated
09/11/2025
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