Individual
ROBERT MICHAEL BLUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
69 ROBBINS AVE, AMITYVILLE, NY 11701-3505
(631) 598-1081
Mailing address
69 ROBBINS AVE, AMITYVILLE, NY 11701-3505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003934
NY
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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