Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 150548 | MA |
N | 2080P0216X | Pediatric Rheumatologist | 150548 | MA |
NPI | 1871557447 |
---|---|
Provider Name | Peter R Blier |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01105-1442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 16/01/2019 |