Blaeser, Bart Frederick
Blaeser, Bart Frederick is an individual health care provider with primary practice located at 6 Essex Center Dr Suite 112, Peabody MA 01960-2910. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Blaeser, Bart Frederick can be contacted via phone (978) 531-1450.Contact Information
Primary practice address
6 Essex Center Dr Suite 112
Peabody MA 01960-2910
Phone: (978) 531-1450
Fax: (978) 531-9984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 18545 | Massachusetts |
Profile Details
| NPI number | 1477544609 |
|---|---|
| LBN Legal business name | Blaeser, Bart Frederick |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Apr 13th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477544609 | NPPES |
| Massachusetts | Other | 203656 | TUFTS |
| Massachusetts | Other | X07909 | TUFTS |
| Massachusetts | Other | 16588 | TUFTS |
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