Individual
LOUIS C BLAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-2340
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD014604E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007544110003
—
PA
01
—
158004
HEALTH AMERICA
PA
01
—
231603
HEALTH AMERICA DBC
PA
01
—
26465
GEISINGER HEALTH PL;AN
PA
01
—
2793633
AETNA
PA
01
—
346793
AETNA DBC
PA
01
—
814561
FIRST PRIORITY HEALTH
PA
01
—
817312
FIRST PRIORITY DBC
PA
01
—
BL074789
HIGHMARK BLUE SHIELD
PA
01
—
C29082
STERLING OPTION 1
PA
Enumeration date
05/04/2006
Last updated
08/21/2020
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