JACK BLECHNER

FARMINGTON, CT
NPI1942205612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CT  014385)
Enumeration Date2005-06-17
Last Update Date2012-08-03
Business Address
-- JACK BLECHNER MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2792
Mailing Address
-- JACK BLECHNER MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503