Individual
DR. JONATHAN RAPHAEL BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 BEACON ST, 2 WEST, BROOKLINE, MA 02446-5587
(617) 731-6334
Mailing address
36 SHERBURNE RD, LEXINGTON, MA 02421-5524
(781) 652-8478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206504
MA
Other
Enumeration date
07/30/2006
Last updated
10/08/2014
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