Dr GEROLD J BLAZEK is a male medical professional, specializing in Anesthesiology. He graduated in 1983 from University Of Illinois At Chicago Health Science Center.
MAIN STREET ANESTHESIA OF NEW MEXICO, LLC
601 DR MARTIN LUTHER KING JR AVE NE
LOVELACE MEDICAL CENTER
ALBUQUERQUE
NM
871023619
Tel: 5057278000
| Npi | 1467452664 |
| Pac Id | 7719172048 |
| Professional Enrollment Id | I20101112000445 |
| Last Name | BLAZEK |
| First Name | GEROLD |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1983 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Group Practice Pac Id | 3476807538 |
| Number Of Group Practice Members | 56 |
| Line 1 Street Address | 601 DR MARTIN LUTHER KING JR AVE NE |
| Line 2 Street Address | LOVELACE MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871023619 |
| Phone Number | 5057278000 |
| Hospital Affiliation Ccn 1 | 320009 |
| Hospital Affiliation Lbn 1 | LOVELACE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 320074 |
| Hospital Affiliation Lbn 2 | LOVELACE WESTSIDE HOSPITAL |
| Hospital Affiliation Ccn 3 | 320017 |
| Hospital Affiliation Lbn 3 | LOVELACE WOMEN'S HOSPITAL |
| 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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