Dr THEODORE BLASZCZYK MD is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1983 from Northwestern University Medical School.
SQUARE CARE MEDICAL GROUP LLP
191 HERRICKS RD
GARDEN CITY PARK
NY
110405236
Tel: 5167422224
| Npi | 1962588640 |
| Pac Id | 7517986052 |
| Professional Enrollment Id | I20051115000163 |
| Last Name | BLASZCZYK |
| First Name | THEODORE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Group Practice Pac Id | 7012938434 |
| Number Of Group Practice Members | 76 |
| Line 1 Street Address | 191 HERRICKS RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GARDEN CITY PARK |
| State | NY |
| Zip Code | 110405236 |
| Phone Number | 5167422224 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 2 | 330246 |
| Hospital Affiliation Lbn 2 | ST CHARLES HOSPITAL |
| Hospital Affiliation Ccn 3 | 330393 |
| Hospital Affiliation Lbn 3 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.