Individual
DR. JOSEPH B. BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2694
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD009752E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006857440001
—
PA
01
—
110220788
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
P00313957
RR MEDICARE PIN
NY
Enumeration date
02/10/2006
Last updated
06/22/2011
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