Active NPIIndividual provider

Dr. Wanda P Blanton, MD

Internal Medicine, Gastroenterology in Stoneham, Massachusetts

NPI Number1417123431
Practice location
51 Montvale Ave, Stoneham, MA 02180-2417
Fax
781-481-9016
Last updated
January 13, 2014

Wanda P Blanton is an Internal Medicine, Gastroenterology based in Stoneham, MA. Wanda P Blanton practices in Stoneham, MA and has the professional credentials of MD. The NPI Number for Wanda P Blanton is 1417123431 and holds a License No. 235965 (MA). The current practice location address for Wanda P Blanton is 51 Montvale Ave, Stoneham, MA 02180-2417 and can be reached out via phone at 781-213-5200 and via fax at 781-481-9016.

Provider Profile Details

NPI Number
1417123431
Provider Name
Wanda P Blanton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
51 Montvale Ave, Stoneham, MA 02180-2417
Phone Number
781-213-5200
Fax Number
781-481-9016
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Other Names
Wanda Plungkhen Blanton, MD (Other Name)
Provider Enumeration Date
April 30, 2008
Last Update Date
January 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Montvale Ave
Stoneham, MA 02180-2417
Zip
02180-2417
Phone Number
781-213-5200
Fax Number
781-481-9016
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
51 Montvale Ave
Stoneham, MA 02180-2417
City
Stoneham
State
MA
Zip
02180-2417
Phone Number
781-213-5200
Fax Number
781-481-9016

License Information

License Number (1)
235965
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
235965
License State (2)
MA
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

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 Dr. Wanda P Blanton, MD?

The NPI number of Dr. Wanda P Blanton, MD is 1417123431. It was assigned on April 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Wanda P Blanton, MD?

Dr. Wanda P Blanton, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in MA under license number 235965.

Where does Dr. Wanda P Blanton, MD practice?

The practice location is 51 Montvale Ave, Stoneham, MA 02180-2417. The office can be reached at 781-213-5200 (phone) or 781-481-9016 (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 1417123431 directly on the NPPES registry website.

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