Individual
MARGARET L BLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 HIGH ST, SUITE 106, ELLSWORTH, ME 04605-1729
(207) 667-5999
(207) 667-0555
Mailing address
35 EASTWARD LN, SUITE 106, ELLSWORTH, ME 04605-1744
(207) 667-5999
(207) 667-0555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013869
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130420099
—
ME
01
—
MM5585
MEDICARE
ME
Enumeration date
12/04/2006
Last updated
08/11/2016
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