Individual
VANDA BLINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
404 HUTTLESTON AVE, FAIRHAVEN, MA 02719-5630
(508) 996-9333
(508) 996-3443
Mailing address
404 HUTTLESTON AVE, FAIRHAVEN, MA 02719-5630
(508) 996-9333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA205056
MA
Other
Enumeration date
12/10/2005
Last updated
01/28/2013
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