Provider Demographics
NPI:1669462578
Name:BLACHMAN, PAUL STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STEVEN
Last Name:BLACHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:851 MAIN ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1612
Mailing Address - Country:US
Mailing Address - Phone:781-331-4923
Mailing Address - Fax:781-340-0231
Practice Address - Street 1:851 MAIN ST
Practice Address - Street 2:STE 11
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1612
Practice Address - Country:US
Practice Address - Phone:781-331-4923
Practice Address - Fax:781-340-0231
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA38541207R00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B0102901Medicare PIN
A30192Medicare UPIN