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Individual

MARK A BLUMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3455 MAIN ST, SUITE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST, SUITE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
223863
MA
207ND0900X
Dermatopathology Physician
223863
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223863
CONNECTICARE
01
36373
HEALTH NEW ENGLAND
01
470305
TUFTS HEALTH PLANS
01
J28609
BLUE CROSS BLUE SHIELD
MA
01
P00231584
RAILROAD MEDICARE
Enumeration date
07/08/2005
Last updated
12/18/2025
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