Blesofsky, Marshall Edward

Blesofsky, Marshall Edward is an individual health care provider with primary practice located at 3917 Linden Ave , Long Beach CA 90807-2714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blesofsky, Marshall Edward can be contacted via phone (562) 760-8823.

Contact Information

Primary practice address
3917 Linden Ave Long Beach CA 90807-2714
Phone: (562) 760-8823
Fax: (562) 252-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 11155 California

Profile Details

NPI number 1689718579
LBN Legal business name Blesofsky, Marshall Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Feb 24th, 2011 - about 15 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 1689718579 NPPES
California Other PA 11155 PHYSICIAN ASSISTANT LICEN

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