Individual
RICHARD BLUTSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 N ENOLA DR, STE 101, ENOLA, PA 17025-2500
(717) 732-7171
Mailing address
PO BOX 244, ENOLA, PA 17025-0244
(717) 732-7171
(717) 732-8872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-021815-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-021815-E
STATE LICENSE
PA
Enumeration date
06/24/2006
Last updated
07/08/2007
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