Individual
JILL I BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
331 OLCOTT DR, SUITE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
Mailing address
331 OLCOTT DR, SUITE U3, WHITE RIVER JUNCTION, VT 05001-9601
(802) 295-6132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420012818
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009068
—
VT
05
—
30203299
—
NH
Enumeration date
02/17/2006
Last updated
03/29/2021
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