Individual
ANDREY IIMANTS BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3141 KLINE DR, VIRGINIA BEACH, VA 23452-6228
(757) 431-2781
Mailing address
3141 KLINE DR, VIRGINIA BEACH, VA 23452-6228
(757) 431-2781
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39200
KY
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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