Organization
BLAUM BREAST CARE SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A BRENNAN (BILLING MANAGER)
(570) 693-6163
Entity
Organization
Contact information
Practice address
480 PIERCE ST, NEW BRIDGE CENTER, SUITE #312-314, KINGSTON, PA 18704-5512
(570) 714-3911
(570) 714-3912
Mailing address
480 PIERCE ST, NEW BRIDGE CENTER, SUITE #312-314, KINGSTON, PA 18704-5512
(570) 714-3911
(570) 714-3912
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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