Individual
BEN ADAM BLOMBERG
Active
Individual
BEN ADAM BLOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2016-00286
NC
390200000X
Student in an Organized Health Care Education/Training Program
191368
NC
Other
Enumeration date
05/07/2013
Last updated
03/31/2021
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