Individual
DR. BENNETT BLUMENKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E NORTH AVE, SUITE 302 AGH NEUROSURGERY, PITTSBURGH, PA 15212-4746
(412) 359-6200
(412) 359-6617
Mailing address
420 E NORTH AVE, SUITE 302 AGH NEUROSURGERY, PITTSBURGH, PA 15212-4746
(412) 359-6200
(412) 359-6617
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD426898
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010437730002
—
PA
05
—
2586803
—
OH
05
—
3810006248
—
WV
Enumeration date
07/26/2005
Last updated
04/10/2008
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