Dr KEITH BLAQUIERE is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
URGI CENTER MEDICAL GROUP
273 TEATICKET HWY
TEATICKET
MA
025365638
Tel: 5084958000
Npi | 1265735369 |
Pac Id | 4082890611 |
Professional Enrollment Id | I20110517000324 |
Last Name | BLAQUIERE |
First Name | KEITH |
Middle Name | |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2010 |
Primary Specialty | PHYSICIAN ASSISTANT |
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Organization Legal Name | URGI CENTER MEDICAL GROUP |
Group Practice Pac Id | 3476790601 |
Number Of Group Practice Members | 74 |
Line 1 Street Address | 273 TEATICKET HWY |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | TEATICKET |
State | MA |
Zip Code | 025365638 |
Phone Number | 5084958000 |
Hospital Affiliation Ccn 1 | 220135 |
Hospital Affiliation Lbn 1 | FALMOUTH HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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