Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAZE ROBERT GUSIC, M.D.
Active Sole ProprietorDR. BLAZE ROBERT GUSIC, M.D. is a Pediatrics healthcare provider located in UPLAND, Pennsylvania. NPI 1912927138 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · UPLAND, PA
Registration Details
- NPI Number
- 1912927138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.024947751636 yrs)
- Last Updated
- Oct 15, 2012
- Licenses
-
MD-062845-L (PA)12628 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 MEDICAL CENTER BLVDSUITE 205UPLAND, PA, 190133957Browse PA providers · Browse ZIP 19013
- Phone
- 6106197410
- Fax
- 6108768483
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in UPLAND, PA
| Name | Credential | NPI |
|---|---|---|
| MR. LEAMON L. DAVENPORT | DO | 1649230525 |
| FATEMA RAZVI ABIDI | MD | 1093723850 |
| ERIN E. SCHNEPP | DO | 1942305495 |
| RITA P NUNAG | M.D. | 1760790380 |
| JANISHA PATEL | DO | 1114455300 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.