Blaze Robert Gusic, M.D.
Pediatrics Physician · Upland, PA
Practice location
30 Medical Center BlvdSuite 205
Upland, PA 19013-3957
- Phone
- (610) 619-7410
- Fax
- (610) 876-8483
NPI record
- NPI
- 1912927138
- Entity type
- Individual (Type 1)
- Enumeration date
- July 20, 2006
- Last updated
- October 15, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
MD-062845-L | PA |
| Pediatrics Physician | 208000000X |
12628 | NV |
About Dr. Gusic
Blaze Robert Gusic, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957. The NPI number 1912927138 was assigned on July 20, 2006 and the record was last updated on October 15, 2012.
Dr. Gusic lists 2 licenses in the registry: #MD-062845-L (PA) for Pediatrics Physician; #12628 (NV) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blaze Robert Gusic, M.D.?
The NPI number is 1912927138.
What is the phone number of Dr. Gusic?
The phone number listed for the practice location is (610) 619-7410.
Where is Dr. Gusic located?
30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957.
What is the taxonomy code for Dr. Gusic?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Upland
- Fatema Razvi Abidi, MD30 Medical Center Blvd
- Janisha Patel, DO1 Medical Center Blvd
- Leamon L. Davenport, DO30 Medical Center Blvd
- Rita P. Nunag, M.D.30 Medical Center Blvd
- Erin E. Schnepp, DO30 Medical Center Blvd