Individual
DR. KENNETH SANFORD BLUMENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2577 SAMARITAN DR, SUITE 710, SAN JOSE, CA 95124-4100
(408) 358-0133
(408) 358-8134
Mailing address
2577 SAMARITAN DR, SUITE 710, SAN JOSE, CA 95124-4100
(408) 358-0133
(408) 358-8134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A509000
—
CA
Enumeration date
07/19/2006
Last updated
08/21/2012
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