Active NPIIndividual providerSole proprietor

Jesus Blanco, MD

Internal Medicine in Fitchburg, Massachusetts

NPI Number1275590473
Practice location
104 Whalon St, Suite 108, Fitchburg, MA 01420-7128
Fax
978-342-4530
Last updated
February 4, 2015

Jesus Blanco is an Internal Medicine based in Fitchburg, MA. Jesus Blanco practices in Fitchburg, MA and has the professional credentials of MD. The NPI Number for Jesus Blanco is 1275590473 and holds a License No. 56301 (MA). The current practice location address for Jesus Blanco is 104 Whalon St, Suite 108, Fitchburg, MA 01420-7128 and can be reached out via phone at 978-342-1150 and via fax at 978-342-4530.

Provider Profile Details

NPI Number
1275590473
Provider Name
Jesus Blanco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Whalon St, Suite 108, Fitchburg, MA 01420-7128
Phone Number
978-342-1150
Fax Number
978-342-4530
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2006
Last Update Date
February 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Whalon St
Suite 108
Fitchburg, MA 01420-7128
Zip
01420-7128
Phone Number
978-342-1150
Fax Number
978-342-4530
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
Po Box 395
Westminster, MA 01473-0395
City
Westminster
State
MA
Zip
01473-0395
Phone Number
603-673-9411
Fax Number
603-673-9899

License Information

License Number (1)
56301
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
56301
License State (2)
MA
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jesus Blanco, MD?

The NPI number of Jesus Blanco, MD is 1275590473. It was assigned on May 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Jesus Blanco, MD?

Jesus Blanco, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 56301.

Where does Jesus Blanco, MD practice?

The practice location is 104 Whalon St, Suite 108, Fitchburg, MA 01420-7128. The office can be reached at 978-342-1150 (phone) or 978-342-4530 (fax).

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 1275590473 directly on the NPPES registry website.

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