Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blaze Robert Gusic, MD

Individual provider Pediatrics Physician · NPI 1912927138

Dr. Blaze Robert Gusic, MD is a Pediatrics Physician in Upland, Pennsylvania. Practices as a sole proprietor. Licensed in Nevada and Pennsylvania.

Licensed in
NV, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Medical Center Blvd Ste 205
Upland, PA 19013-3957
Phone: (610) 619-7410
Fax: (610) 876-8483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD-062845-L (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 12628 (NV)

Record details

NPI number1912927138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 15, 2012
Mailing address30 Medical Center Blvd, Suite 205, Upland, PA 19013-3957

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