Organization
CARROLL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLUMBERG MD (EMPLOYEE)
(410) 848-1818
Entity
Organization
Contact information
Practice address
295 STONER AVE, WESTMINSTER, MD 21157-5698
(410) 848-1818
(410) 876-3156
Mailing address
PO BOX 900, WESTMINSTER, MD 21158-0900
(410) 848-1818
(410) 876-3159
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1286701
AETNA
—
01
—
1544512
GATEWAY HEALTH PLAN
—
01
—
357439
HEALTH AMERICA
—
Enumeration date
12/27/2006
Last updated
10/01/2015
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