Doctor Name: | SHERRY L BLUMENTHAL |
NPI Number: | 1003809815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 030563-E |
Business Practice Address: | 2701 Blair Mill Rd Suite C Willow Grove, PA - 190901041 |
Business Phone Number: | 2154430660 |
Business Fax Number: | 2154438422 |
Mailing Address: | 2701 Blair Mill Rd, Suite C WILLOW GROVE |
State: | PA |
Postal Code: | 190901041 |
Phone Number: | 2154430660 |
Fax Number: | 2154438422 |
NPI Enumeration Date: | 08/26/2005 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 030563-E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |