Active NPIIndividual provider

Eugenia Blank, MD

Psychiatry & Neurology, Neurology in Medford, Massachusetts

NPI Number1922143296
Practice location
170 Governors Ave Ste 258, Medford, MA 02155-1643
Fax
781-213-5255
Last updated
November 1, 2018

Eugenia Blank is a Psychiatry & Neurology, Neurology based in Medford, MA. Eugenia Blank practices in Medford, MA and has the professional credentials of MD. The NPI Number for Eugenia Blank is 1922143296 and holds a License No. 230567 (MA). The current practice location address for Eugenia Blank is 170 Governors Ave Ste 258, Medford, MA 02155-1643 and can be reached out via phone at 781-213-5201 and via fax at 781-213-5255.

Provider Profile Details

NPI Number
1922143296
Provider Name
Eugenia Blank
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave Ste 258, Medford, MA 02155-1643
Phone Number
781-213-5201
Fax Number
781-213-5255
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Other Names
-- Eugenia Shikhanovich, MD (Former Name)
Provider Enumeration Date
February 21, 2007
Last Update Date
November 1, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave Ste 258
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
781-213-5201
Fax Number
781-213-5255
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
170 Governors Ave Ste 258
Medford, MA 02155-1643
City
Medford
State
MA
Zip
02155-1643
Phone Number
781-213-5201
Fax Number
781-213-5255

License Information

License Number
230567
License State
MA
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · 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 Eugenia Blank, MD?

The NPI number of Eugenia Blank, MD is 1922143296. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Eugenia Blank, MD?

Eugenia Blank, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 230567.

Where does Eugenia Blank, MD practice?

The practice location is 170 Governors Ave Ste 258, Medford, MA 02155-1643. The office can be reached at 781-213-5201 (phone) or 781-213-5255 (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 1922143296 directly on the NPPES registry website.

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