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Jason Blackwell

NPI 1528747169 · on the registry since 2023

Practice

Address
36 Russ St Fl 1
Hartford, CT 06106
Phone
(914) 772-4363
Fax
(860) 200-0761
Organisation at this address
Oriolum Llc
1st Choice Md Ems
Prestige Rehab Ct Pllc
Naseem B. Razavi, Md Llc
Urban Wellness Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Sex
Male
Record last updated
2023-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut