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Individual

MICHAEL DAVID BLECHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
263 FARMINGTON AVE, ANATOMIC PATHOLOGY, FARMINGTON, CT 06030-3985
(860) 679-2980
(860) 679-4334
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
042150
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
042150
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932267382
CT
Enumeration date
12/05/2006
Last updated
09/29/2022
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