Individual
EUGENIA BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 GOVERNORS AVE STE 258, MEDFORD, MA 02155-1643
(781) 213-5201
(781) 213-5255
Mailing address
170 GOVERNORS AVE STE 258, MEDFORD, MA 02155-1643
(781) 213-5201
(781) 213-5255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
230567
MA
Other
Enumeration date
02/21/2007
Last updated
11/01/2018
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