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Physician Compare National (NPI:1306864707)

HEALTHCARE PROVIDER: RONALD D. BLATT M.D., F.A.C.O.G

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1306864707
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0941479810
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110810000232
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BLATT
Individual professional last name
Provider First Name RONALD
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PLASTIC AND RECONSTRUCTIVE SURGERY
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 PREVENTATIVE MEDICINE
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, PREVENTATIVE MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 144 E 44TH ST
Group Practice or individual's line 1 address
Line 2 Street Address RM 225
Group Practice or individual's line 2 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100174098
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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