Individual
DR. ALFRED MERLIN BLUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5341
(510) 537-1234
(510) 727-2786
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
(800) 697-6006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G62885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G628850
—
CA
Enumeration date
05/12/2006
Last updated
07/08/2007
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