Individual
DR. MICHAEL IRA BLEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
1100 ROUTE 72 W, SUITE 304, MANAHAWKIN, NJ 08050-2468
(609) 978-9639
(609) 978-9685
Mailing address
346 S LAKESHORE DR, MANAHAWKIN, NJ 08050-2923
(609) 709-9121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06787800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6947107
—
NJ
Enumeration date
10/07/2005
Last updated
07/27/2010
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