MEDICARE: DR. DENIS J BLAIS MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	59081	MA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	059081	OTHER	MA	TUFTS
2	0001666001	OTHER	MA	CIGNA
3	0011777	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
4	1900035	OTHER	MA	UNITED HEALTHCARE
5	27748	OTHER	MA	HARVARD PILGRIM
6	34742	OTHER	MA	FALLON
7	4487896	OTHER	MA	US HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1245229335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENIS J BLAIS MD

Provider Business Mailing Address
First Line	:	780 MAIN ST
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1622
Country	:	US
Telephone Number	:	781-331-4600
Fax Number	:	781-337-5095

Provider Business Practice Location Address
First Line	:	780 MAIN ST
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1622
Country	:	US
Telephone Number	:	781-331-4600
Fax Number	:	781-337-5095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	04/12/2010

780 MAIN ST , SUITE 2A
SOUTH WEYMOUTH, MA
02190-1622

Practice Phone: 781-335-4815
Practice Fax: 781-337-9651

780 MAIN ST
SOUTH WEYMOUTH, MA
02190-1622