Provider Demographics
NPI:1578908018
Name:BLECHMAN, ADAM BRANDON (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BRANDON
Last Name:BLECHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 OXFORD VALLEY RD STE 312
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7704
Mailing Address - Country:US
Mailing Address - Phone:215-321-3500
Mailing Address - Fax:215-321-5312
Practice Address - Street 1:385 OXFORD VALLEY RD STE 312
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7704
Practice Address - Country:US
Practice Address - Phone:215-321-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD464785207N00000X, 207ND0101X
NY288317390200000X
PAMT203785390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery