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Individual

DR. JOHN W BLANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17 HILLHOUSE AVE, NEW HAVEN, CT 06511-6815
(203) 432-0076
(203) 432-0789
Mailing address
17 HILLHOUSE AVE, NEW HAVEN, CT 06511-6815
(203) 432-0076
(203) 432-0789

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
015139
CT

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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