Individual
DR. PATRICK J BLOMBERG
Active
Individual
DR. PATRICK J BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
154514
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
154514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026892
NHP
MA
01
—
060067743
PALMETTO GBA (RR MCARE)
—
01
—
154514
TUFTS
—
01
—
2501287
UHC
—
01
—
2878525
AETNA/USHC
—
01
—
304242
HPHC
—
05
—
3172066
—
MA
01
—
57839
FALLON
—
01
—
5792873
CIGNA
—
01
—
J17945
BCBSMA
MA
Enumeration date
11/02/2005
Last updated
08/05/2010
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