Blaha, Gregory R.
Blaha, Gregory R. is an individual health care provider with primary practice located at One Essex Center Drive Lahey Clinic, Peabody MA 01960-2901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Blaha, Gregory R. can be contacted via phone (978) 538-4400.Contact Information
Primary practice address
One Essex Center Drive Lahey Clinic
Peabody MA 01960-2901
Phone: (978) 538-4400
Fax: (978) 538-4724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 221050 | Massachusetts |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 221050 | Massachusetts |
Profile Details
| NPI number | 1902998776 |
|---|---|
| LBN Legal business name | Blaha, Gregory R. |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 10th, 2019 - about 6 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 | 1902998776 | NPPES |
| Massachusetts | MEDICAID | 110037878A |
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