Individual
BETH ALLISON BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CARNIE BLVD, SUITE A-4, VOORHEES, NJ 08043-4512
(856) 751-0123
(856) 751-5650
Mailing address
PO BOX 1710, VOORHEES, NJ 08043-7710
(856) 770-0504
(856) 770-0395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08163700
NJ
2085R0202X
Diagnostic Radiology Physician
MD428848
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11648376
CAQH
—
05
—
121746
—
NJ
01
—
1396272
UNITED HEALTHCARE
—
01
—
25MA08163700
LICENSE
NJ
01
—
2803201000
AMERIHEALTH PPO
—
01
—
3186189
AETNA
—
01
—
5748513
FIRST HEALTH
—
01
—
600030095
HORIZON NJ HEALTH
—
01
—
A3738029
OXFORD HEALTH
—
01
—
BL1933182
HIGHMARK PA BLUE SHIELD
—
01
—
MD428848
LICENSE
PA
01
—
P00400626
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
05/29/2012
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