DR. Jessica Lynn Blydenburgh, D.O.

NPI #1144548918 in Port Jefferson, New York

Provider Information

NPI Number
1144548918
Entity Type
Individual
Name
DR. Jessica Lynn Blydenburgh, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
May 4, 2010
Last Updated
Aug 14, 2013

Practice Location

Address
125 OAKLAND AVE
ZIP Code
11777-2130
Phone
(631) 736-1311

Specialties & Taxonomy Codes

Specialty
Family Medicine

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