Individual
DAVID STEVEN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4425 FITCH AVENUE, SUITE 120, BALTIMORE, MD 21236-3927
(410) 682-3000
(410) 682-6890
Mailing address
4425 FITCH AVENUE, SUITE 120, BALTIMORE, MD 21236-3927
(410) 682-3000
(410) 682-6890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO857
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382-00-8400
—
MD
01
—
522253219
ADVANTICA
MD
01
—
XZ72DS
CAREFIRST BCBS
MD
Enumeration date
05/30/2006
Last updated
05/04/2021
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