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

Maxwell Robert Blazon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023768694

Maxwell Robert Blazon, DO is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 83956 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023768694
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2022
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address20 York St, New Haven, CT 06510-3220

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