Individual
MR. EDWARD MARTIN BLUMENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 HAWTHORNE AVE, STE 301, OAKLAND, CA 94609-3113
(510) 893-1700
(510) 893-0110
Mailing address
365 HAWTHORNE AVE, STE 301, OAKLAND, CA 94609-3113
(510) 893-1700
(510) 893-0110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G22905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G229050
—
CA
Enumeration date
07/17/2006
Last updated
07/08/2007
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