Individual
BLAIR E HONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 582-2182
Mailing address
2005 WALLACE ST, UNIT #1, PHILADELPHIA, PA 19130-3221
(215) 582-2182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
390200000X
PA
207P00000X
Emergency Medicine Physician
Primary
P0228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285256804
—
TX
01
—
P01012688
RAILROAD
TX
Enumeration date
06/18/2007
Last updated
05/24/2012
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