Provider Demographics
NPI:1467472654
Name:BLAIR, EMILY (MD, DO)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 POST ROAD
Mailing Address - Street 2:OB/GYN OF FAIRFIELD COUNTY
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824
Mailing Address - Country:US
Mailing Address - Phone:203-256-3990
Mailing Address - Fax:203-255-0688
Practice Address - Street 1:1735 POST ROAD
Practice Address - Street 2:OB/GYN OF FAIRFIELD COUNTY
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824
Practice Address - Country:US
Practice Address - Phone:203-256-3990
Practice Address - Fax:203-255-0688
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000249207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E59881Medicare UPIN