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1073868105
BRUCE IAN BLATT
PHILADELPHIA, PA
NPI
1073868105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD034733E)
Enumeration Date
2012-07-15
Last Update Date
2020-01-15
Business Address
Dr. BRUCE IAN BLATT M.D.
7131 FRANKFORD AVE
PHILADELPHIA, PA 19135-1008
Phone number: 215-332-4164
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Mailing Address
Dr. BRUCE IAN BLATT M.D.
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-1825
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