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1730536905
BLASE A PROSPERI
CHARLOTTESVILLE, VA
NPI
1730536905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101281134)
Enumeration Date
2016-05-18
Last Update Date
2024-03-01
Business Address
BLASE A PROSPERI MD
1215 LEE ST
CHARLOTTESVILLE, VA 22908-1005
Phone number: 434-924-9400
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Mailing Address
BLASE A PROSPERI MD
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000
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