Individual
ROBERT HARRY BLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL GASTROENTEROLOGY DEPT, HARTFORD, CT 06102-5037
(860) 545-2791
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020186
CT
207RG0100X
Gastroenterology Physician
Primary
020186
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201862
—
CT
Enumeration date
09/12/2006
Last updated
04/17/2013
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