Individual
MARISSA A BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Mailing address
3500 N BROAD ST RM 1ANA, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD431822
PA
Other
Enumeration date
02/14/2007
Last updated
12/14/2023
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