Individual
DR. JEFFREY W BLOMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 WILDWOOD AVE, WESTERN NEW ENGLAND RENAL AND TRANS, GREENFIELD, MA 01301-1215
(413) 773-5797
(413) 773-9009
Mailing address
PO BOX 70266, SPRINGFIELD, MA 01107-1577
(413) 788-6530
(413) 750-8027
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
53601
MA
207RN0300X
Nephrology Physician
9863
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001541
—
VT
05
—
6183557
—
MA
05
—
99904936
—
NH
Enumeration date
11/03/2005
Last updated
03/05/2014
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