Organization
BLAIR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L BRYAN (PROJECTS MGR.)
(814) 949-7621
Entity
Organization
Contact information
Practice address
721 N JUNIATA ST, FIRST FLOOR SUITE, HOLLIDAYSBURG, PA 16648-1455
(814) 695-5591
(814) 695-7419
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007641130011
NIYAZ M. AZAD, MD MA NUMBER FOR H-BURG OFFICE
PA
01
—
1007393100102
HOLLIDAYSBURG OFFICE MA NUMBER
PA
01
—
1015341
GATEWAY H-BURG OFFICE
PA
01
—
142869
HIGHMARK PCP GROUP NO.
PA
01
—
W412
GEISINGER OFFICE NO.
PA
Enumeration date
02/14/2007
Last updated
04/28/2008
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