Individual
COLIN BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287
(216) 470-1006
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
06/18/2018
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