Individual
DR. NATHAN BLENKUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
250 TURNPIKE ST, CANTON, MA 02021-2359
(781) 828-2202
Mailing address
298 OAKHILL AVE, ATTLEBORO, MA 02703-6209
(178) 195-3282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10814
MA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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