DR. Blaze Robert Gusic, M.D.

NPI #1912927138 in Upland, Pennsylvania

Provider Information

NPI Number: 1912927138
Entity Type: Individual
Name: DR. Blaze Robert Gusic, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 20, 2006
Last Updated: Oct 15, 2012

Practice Location

Address: 30 MEDICAL CENTER BLVD
Address 2: SUITE 205
City: Upland
State: Pennsylvania
ZIP Code: 19013-3957
Phone: (610) 619-7410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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