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Organization

ADAM BLATT MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM M BLATT MD (PRESIDENT)
(949) 644-8722
Entity
Organization

Contact information

Practice address
1401 AVOCADO AVE STE 602, NEWPORT BEACH, CA 92660-7715
(949) 644-8722
(949) 644-8893
Mailing address
1401 AVOCADO AVE STE 602, NEWPORT BEACH, CA 92660-7715
(949) 644-8722
(949) 644-8893

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A111452
CA

Other

Enumeration date
06/26/2018
Last updated
11/01/2018
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