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Individual

DR. DEAN BLUMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-7618
(916) 734-7890
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-7618
(916) 734-7890

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G60479
CA
2080P0208X
Pediatric Infectious Diseases Physician
G60479
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G0604790
MEDI-CAL
CA
Enumeration date
11/14/2005
Last updated
04/06/2015
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