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

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