Individual
MELINDA BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4251 US HIGHWAY 9, FREEHOLD, NJ 07728-8303
(732) 577-1855
Mailing address
6 GARNET ST, MORGANVILLE, NJ 07751-1015
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14228
NJ
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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