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Individual

DR. ROBERT D BLASBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026223
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00656235A
GA
01
02372
COVENTRY PPO
GA
01
0890550
UHC
GA
01
1078920002
DME
GA
01
108374
COVENTRY HMO
GA
01
154029
BCBS
GA
01
180032092
RR MEDICARE
GA
01
294428
WELLCARE
GA
01
4105767
AETNA
GA
01
479732
AETNA HMO
GA
01
582209517
WORK COMP
GA
Enumeration date
06/30/2005
Last updated
11/15/2013
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