Individual
DR. STEVEN JAY BLUMENFRUCHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 OGDEN AVE, TEANECK, NJ 07666-2819
(201) 833-1968
Mailing address
411 OGDEN AVE, TEANECK, NJ 07666-2819
(201) 833-1968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
188407
NY
2085R0202X
Diagnostic Radiology Physician
25MA05210400
NJ
2085R0202X
Diagnostic Radiology Physician
ME75738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7435304
—
NJ
Enumeration date
09/08/2005
Last updated
09/29/2018
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