Search › Pennsylvania › 208000000X
Blaze Gusic, M.D
NPI 1912927138 · on the registry since 2006 · sole proprietor
Practice
- Address
- 30 Medical Center Blvd
Suite 205
Upland, PA 19013 - Phone
- (610) 619-7410
- Fax
- (610) 876-8483
- Organisation at this address
- Dr Michael Ryan Pc
Pediatric Associates
Clinical Renal Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- PA, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-15
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 Pennsylvania