Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 037383 | CT |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME115177 | FL |
NPI | 1407942055 |
---|---|
Provider Name | Mark H Blechner |
First Address | Shelton, CT 06484-7622 |
Second Address | Shelton, CT 06484-7622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/01/2019 |