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Individual

MS. THERESSA BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 HIGHLAND DR, SUITE 624, WESTAMPTON, NJ 08060-5120
(609) 267-1178
(609) 265-2054
Mailing address
600 HIGHLAND DR, SUITE 624, WESTAMPTON, NJ 08060-5120
(609) 267-1178
(609) 265-2054

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00164700
NJ

Other

Enumeration date
06/15/2006
Last updated
08/21/2012
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