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Individual

NEAL BARRON BLAXBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7 CHURCH LN, SUITE 12, PIKESVILLE, MD 21208-3710
(410) 484-0666
(410) 486-0816
Mailing address
7 CHURCH LN, SUITE 12, PIKESVILLE, MD 21208-3710
(410) 484-0666
(410) 486-0816

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01269PT
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M100
BCBS OF MD
MD
01
R078
BLUE CROSS
DC
Enumeration date
07/28/2006
Last updated
07/08/2007
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