KEITH BLAQUIERE

URGI CENTER MEDICAL GROUP

Dr KEITH BLAQUIERE is a male medical professional, specializing in Physician Assistant. He graduated in 2010.

Contact

URGI CENTER MEDICAL GROUP

273 TEATICKET HWY
TEATICKET
MA
025365638

Tel: 5084958000

KEITH BLAQUIERE Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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