Provider Demographics
NPI:1386770519
Name:BLANCHARD, DEANNA (MD)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 W STATE ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2554
Mailing Address - Country:US
Mailing Address - Phone:215-348-7080
Mailing Address - Fax:215-348-7588
Practice Address - Street 1:599 W STATE STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2554
Practice Address - Country:US
Practice Address - Phone:215-348-7080
Practice Address - Fax:215-348-7588
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439780208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery