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Organization

HARVEY J BLUESTEIN MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARVEY JAY BLUESTEIN MD (SOLE PROPRIETOR/SURGEON)
(203) 254-8557
Entity
Organization

Contact information

Practice address
325 REEF RD, SUITE 105, FAIRFIELD, CT 06824-6537
(203) 254-8557
Mailing address
325 REEF RD, SUITE 105, FAIRFIELD, CT 06824-6537
(203) 254-8557

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
037483
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001374834
CT
01
240000139
MEDICARE
CT
Enumeration date
07/20/2012
Last updated
07/31/2012
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