Individual
DR. HAYWOOD BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
GOOD SAMARITAN REGIONAL MEDICAL CENTER, EMERGENCY DEPT, 700 E NORWEGIAN ST, POTTSVILLE, PA 17901
(570) 621-4656
Mailing address
3131 TAYLOR DR, CENTER VALLEY, PA 18034-8709
(610) 282-4353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD027475E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012931210014
—
PA
Enumeration date
05/09/2006
Last updated
12/26/2007
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