Blazer, Dan German

Blazer, Dan German is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27710-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Blazer, Dan German can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27710-0001
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X M3474 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 2008-00828 North Carolina

Profile Details

NPI number 1578583779
LBN Legal business name Blazer, Dan German
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 8th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578583779 NPPES
North Carolina MEDICAID 8916303

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