Individual
JUSTINE I BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # SPAN2, BOSTON, MA 02215
(617) 632-0362
Mailing address
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107-4405
(215) 955-8465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
274874
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
07/09/2018
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