Search › Maryland › 103TC0700X
Ethan Bliss, PHD
NPI 1851428460 · on the registry since 2007
Practice
- Address
- 340 Park Ave
Frederick, MD 21701 - Phone
- (301) 663-1683
- Fax
- (301) 663-3792
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
101YM0800X
101YM0800X - Licence states on file
- MD, IN, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland