Edward Andrew Blanchette, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

017415 Issued in CT

Practice address

92 Partridge LNDG
Glastonbury, CT 06033-2850

Phone

(860) 604-2647

Fax

(860) 657-3807

NPI assigned

Jul 28, 2008

Last updated

Jul 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1306001508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PARTRIDGE LNDG",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332850",
            "telephone_number": "860-604-2647",
            "fax_number": "860-657-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PARTRIDGE LNDG",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332850",
            "telephone_number": "860-604-2647",
            "fax_number": "860-657-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHETTE",
        "first_name": "EDWARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "017415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharat Bhushan, ARNP
• Avinash S Bidra, BDS, MS, FACP
• Karen Bidwell, PT
• Rosanne Bisi, LMT
• E. Lawrence Blackwell Jr., LCSW, CAC
• Megan Marie Blanchette, AU.D.
• Madeline Blinderman
• Blue Laurel, Inc.
• Steven Harrison Blume, DPM
• Karen Bogdan, LCSW

• Infectious Disease Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Infectious Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.