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1124060330
JERRY GENE BLAIVAS
NEW YORK, NY
NPI
1124060330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: NY 144945 1)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Dr. JERRY GENE BLAIVAS M.D.
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900
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Mailing Address
Dr. JERRY GENE BLAIVAS M.D.
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900
Copy
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