Blaustein, Philip A

Blaustein, Philip A is an individual health care provider with primary practice located at 2020 59Th St West Blake Medical Center, Bradenton FL 34209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Blaustein, Philip A can be contacted via phone (941) 792-6611.

Contact Information

Primary practice address
2020 59Th St West Blake Medical Center Bradenton FL 34209
Phone: (941) 792-6611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME66591 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME66591 Florida

Profile Details

NPI number 1861445538
LBN Legal business name Blaustein, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 17th, 2010 - about 16 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 1861445538 NPPES
Florida MEDICAID 375966100

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