Dr. Gregory Blaisdell, MD
Orthopaedic Surgery in Portland, ME. Individual provider (NPI-1).
NPI number1689864233
StatusActive
Last updated in NPPESOct 12, 2015
Details
- NPI
- 1689864233
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory Blaisdell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2007
- Last updated
- Oct 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 16000 | NH | Yes |
| 207X00000X | Orthopaedic Surgery | MD20727 | ME | |
| 208600000X | Surgery | ML20008868 | WA | |
| 207X00000X | Orthopaedic Surgery | ME112516 | FL |
Practice location
335 Brighton AveSuite 200
Portland, ME 04102-2363
Phone 207-662-8600 · Fax 207-662-8668
Mailing address
301c Us Route 1Scarborough, ME 04074-9701
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