Individual
DR. DAVID B BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6115 POWERS BLVD, #205, PARMA, OH 44129-5471
(440) 884-2909
(440) 884-3766
Mailing address
3609 PARK EAST DR, #207, BEACHWOOD, OH 44122-4331
(216) 360-0456
(216) 360-9449
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35086446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2837943
—
OH
Enumeration date
03/03/2008
Last updated
08/07/2008
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