Individual
HOWARD R BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
375 VINE RD, STAMFORD, CT 06905
(203) 968-8244
Mailing address
375 VINE RD, STAMFORD, CT 06905
(203) 968-8244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000833
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000833CT01
ANTHEM BCBS
CT
Enumeration date
08/04/2006
Last updated
07/08/2007
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