Maxwell R Blazon, DO
Psychiatry & Neurology, Neurology in New Haven, Connecticut
1023768694- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-688-4242
- Fax
- —
- Last updated
- June 19, 2026
Maxwell Robert Blazon is a Psychiatry & Neurology, Neurology based in New Haven, CT. Maxwell Robert Blazon practices in New Haven, CT and has the professional credentials of DO. The NPI Number for Maxwell Robert Blazon is 1023768694 and holds a License No. 83956 (CT). The current practice location address for Maxwell Robert Blazon is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-4242.
Provider Profile Details
- NPI Number
- 1023768694
- Provider Name
- Maxwell Robert Blazon
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-688-4242
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2022
- Last Update Date
- June 19, 2026
- Certification Date
- June 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-688-4242
Provider Business Mailing Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-688-4242
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 83956
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maxwell R Blazon, DO?
The NPI number of Maxwell R Blazon, DO is 1023768694. It was assigned on March 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Maxwell R Blazon, DO?
Maxwell R Blazon, DO is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 83956.
Where does Maxwell R Blazon, DO practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-688-4242 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023768694 directly on the NPPES registry website.