Individual
DR. ELLEN GRAVITZ BLUMENTHAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
74 HOLLAND RD, BROOKLINE, MA 02445
(617) 566-1707
Mailing address
74 HOLLAND RD, BROOKLINE, MA 02445
(617) 566-1707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36752
MA
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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