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Individual

ERIC BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1838 GREENE TREE RD, STE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Mailing address
1838 GREENE TREE RD, STE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-9344

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D68875
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417082200
MD
Enumeration date
05/16/2007
Last updated
02/15/2012
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