Individual
DR. EZRA BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
719 THOMPSON LN STE 20400, NASHVILLE, TN 37204-4600
(615) 936-2187
Mailing address
700 SW 1ST ST APT 701, MIAMI, FL 33130-1292
(201) 615-8028
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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