Individual
DR. JONATHAN C. BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 E BENJAMIN DR, NEW MARTINSVILLE, WV 26155-2705
(304) 455-8000
Mailing address
107 SHERWOOD CT, NEW MARTINSVILLE, WV 26155-9419
(804) 901-6326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249166
VA
207R00000X
Internal Medicine Physician
25288
WV
Other
Enumeration date
06/16/2008
Last updated
10/14/2022
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