| Dr Blaze Robert Gusic, MD | |
|
30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957 | |
| (610) 619-7410 | |
| (610) 876-8483 |
| Full Name | Dr Blaze Robert Gusic |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 30 Medical Center Blvd, Upland, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912927138 | NPI | - | NPPES |
| 001684683 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD-062845-L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | 12628 (Nevada) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blaze Robert Gusic, MD 30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957 Ph: (610) 619-7410 | Dr Blaze Robert Gusic, MD 30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957 Ph: (610) 619-7410 |
Janisha Patel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Dr. Kelly L Ecker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Division Of Neonatology, Upland, PA 19013 Phone: 610-447-6707 Fax: 610-447-6719 | |
Mr. Leamon L. Davenport, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Rita P Nunag, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-490-0925 | |
Erin E. Schnepp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 |