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Individual

JENNIFER BLUMENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-7529
Mailing address
1 TICONDEROGA DR, BORDENTOWN, NJ 08505-2513
(609) 324-7673

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP010112
PA

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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