Individual
DR. MAXWELL BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1840
Mailing address
PO BOX 7529, NEWARK, DE 19714-7529
(302) 294-1468
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C1-0024754
DE
207P00000X
Emergency Medicine Physician
D0094416
MD
207P00000X
Emergency Medicine Physician
Primary
MD472706
PA
Other
Enumeration date
06/12/2018
Last updated
07/06/2022
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