NPI 1609391531

Joseph Blustein, M.D. LLC

Organisation Point of Service Madison, WI

Practice location

Address: 5555 Odana Rd, Madison, WI 53719-1240
Phone: (608) 257-1866
Fax: (888) 249-0658
Mailing address: 2406 Trevor Way, Madison, WI 53719-4663

Authorised official

Name: Joseph Blustein
Title: President
Phone: (608) 257-1866

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 2 (WI)

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Registry record

NPI: 1609391531
Entity type: Organization
NPI issued: 11 Aug 2017
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.