Individual
CAROLINE S BLAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
530 1ST AVE, SUITE 7B, NEW YORK, NY 10016-6402
(212) 263-8313
(212) 263-8995
Mailing address
550 1ST AVE, BCD612, NEW YORK, NY 10016-6402
(646) 501-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301043629
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
267464-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301043629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2746670
—
MI
Enumeration date
10/18/2006
Last updated
06/08/2021
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