Individual
LARRY E. BLITSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-4778
Mailing address
37 FAWN DR, FARMINGTON, CT 06032-3066
(860) 997-2098
(860) 678-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31293
CT
Other
Enumeration date
02/23/2006
Last updated
07/09/2007
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