Individual
DR. BERNARD IRVING BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05088
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019632
—
MS
01
—
300071324
RAILROAD MEDICARE
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
Enumeration date
06/30/2006
Last updated
06/15/2012
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