Individual
DR. THEODORE JAMES BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 SCHOOL ST, BETHEL, CT 06801-1854
(203) 743-0799
(203) 778-2997
Mailing address
5 SCHOOL ST, BETHEL, CT 06801-1854
(203) 743-0799
(203) 778-2997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020482
CT
Other
Enumeration date
06/16/2006
Last updated
07/13/2010
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