David Daniel Blasczak, MD

NPI #1164436960 in Clyde, New York

Provider Information

NPI Number: 1164436960
Entity Type: Individual
Name: David Daniel Blasczak, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 28, 2006
Last Updated: Mar 13, 2008

Practice Location

Address: 2 W GENESEE ST
City: Clyde
State: New York
ZIP Code: 14433-1126
Phone: (315) 923-2721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
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