Individual
DAVID G BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 461-8235
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 461-8235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6175937
—
MA
Enumeration date
08/02/2006
Last updated
02/09/2011
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