Individual
DANIEL BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 LAUREL RD STE 102, VOORHEES, NJ 08043-8301
(856) 772-5809
Mailing address
221 LAUREL RD STE 102, VOORHEES, NJ 08043-8301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
09/05/2017
Last updated
09/05/2017
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