Individual
DR. SIMEON E GOLDBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-5504
(410) 706-5508
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-5504
(410) 706-5508
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D35863
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280201500
—
MD
01
—
351846-02 & 01
BLUE CROSS/BLUE SHIELD
MD
05
—
4426930
—
DC
Enumeration date
04/19/2006
Last updated
11/22/2010
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