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Individual
DR. MICHAEL Z BLUMBERG
Active
Individual
DR. MICHAEL Z BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101028776
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y217A01
MEDICARE PTAN
VA
05
—
1093792517
—
VA
Enumeration date
12/27/2005
Last updated
05/19/2022
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