Individual
JEFFREY T BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 SCRANTON CARBONDALE HIGHWAY, SCRANTON, PA 18508
(570) 343-4334
Mailing address
435 SCRANTON CARBONDALE HIGHWAY, SCRANTON, PA 18508
(570) 343-4334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD418749
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887735
—
PA
Enumeration date
01/10/2006
Last updated
12/01/2011
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