Blair, Gary

Blair, Gary is an individual health care provider with primary practice located at 103 Garland St , Everett MA 02149-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blair, Gary can be contacted via phone (617) 665-1000.

Contact Information

Primary practice address
103 Garland St Everett MA 02149-5066
Phone: (617) 665-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 79479 Massachusetts

Profile Details

NPI number 1962498378
LBN Legal business name Blair, Gary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962498378 NPPES
Massachusetts MEDICAID 3128369

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