Organization
DWIGHT C. BLUM M.D. P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT C BLUM M.D. (OWNER)
(631) 789-1150
Entity
Organization
Contact information
Practice address
365 BROADWAY, SUITE 4, AMITYVILLE, NY 11701-2716
(631) 789-1150
Mailing address
PO BOX 5111, BAY SHORE, NY 11706-0084
(631) 789-1150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
03/20/2008
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