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1922005487

NPI Code Detail

MEDICARE: DR. ROBERT D BLASBERG M.D.

MEDICARE: DR. ROBERT D BLASBERG M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	026223	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180032092	OTHER	GA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	294428	OTHER	GA	WELLCARE
4	1078920002	OTHER	GA	DME
5	154029	OTHER	GA	BCBS
6	4105767	OTHER	GA	AETNA
7	479732	OTHER	GA	AETNA HMO
8	582209517	OTHER	GA	WORK COMP
9	02372	OTHER	GA	COVENTRY PPO
10	108374	OTHER	GA	COVENTRY HMO
11	0890550	OTHER	GA	UHC

General Provider Information

NPI Number	:	1922005487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT D BLASBERG M.D.

Provider Business Mailing Address
First Line	:	5901A PEACHTREE DUNWOODY RD NE
Second Line	:	STE 500
City	:	ATLANTA
State	:	GA
Zip	:	30328-5382
Country	:	US
Telephone Number	:	678-892-2020
Fax Number	:	678-538-1950

Provider Business Practice Location Address
First Line	:	5995 BARFIELD RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4411
Country	:	US
Telephone Number	:	404-256-1507
Fax Number	:	404-256-1981

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/15/2013

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Directions to “ DR. ROBERT D BLASBERG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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