Individual
DR. JARED ANDREW BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4263
(802) 371-4481
Mailing address
PO BOX 547, CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4263
(802) 371-4481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0012573
VT
207P00000X
Emergency Medicine Physician
18306
NH
207P00000X
Emergency Medicine Physician
LP01768
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003300801
MEDICARE PIN LINKED TO CVMC
VT
05
—
1021720
—
VT
Enumeration date
06/26/2009
Last updated
09/11/2025
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