| Doctor Name: | DR. JAY RICHARD BLUM |
| NPI Number: | 1013074988 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA03591000 |
| Business Practice Address: | 85 Raritan Ave Highland Park, NJ - 089042439 |
| Business Phone Number: | 7328467861 |
| Business Fax Number: | 7328462553 |
| Mailing Address: | 85 Raritan Ave, HIGHLAND PARK |
| State: | NJ |
| Postal Code: | 089042439 |
| Phone Number: | 7328467861 |
| Fax Number: | 7328462553 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0201X |
| License Number: | 25MA03591000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Allergy & Immunology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |