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Adam Blatt MD INC

Urology in Newport Beach, CA. Organization (NPI-2).

NPI number1982199584
StatusActive
Last updated in NPPESNov 1, 2018

Details

NPI
1982199584
Entity type
Organization (NPI-2)
Legal business name
Adam Blatt MD INC
Organization subpart
No
Enumeration date
Jun 26, 2018
Last updated
Nov 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyA111452CAYes

Practice location

1401 Avocado Ave Ste 602
Newport Beach, CA 92660-7715

Phone 949-644-8722 · Fax 949-644-8893

Mailing address

1401 Avocado Ave Ste 602
Newport Beach, CA 92660-7715

Phone 949-644-8722 · Fax 949-644-8893

Authorized official

Adam M Blatt
President
9496448722

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