Doctor Name: | DR. JOSEPH BLUMEN |
NPI Number: | 1689688210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 3462 |
Business Practice Address: | 23 Powel Ave Newport, RI - 028402616 |
Business Phone Number: | 4018473033 |
Business Fax Number: | 4018462846 |
Mailing Address: | 23 Powel Ave, NEWPORT |
State: | RI |
Postal Code: | 028402616 |
Phone Number: | 4018473033 |
Fax Number: | 4018462846 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 10/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |