Individual
DR. ANDREW E BLUHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44340 PREMIER PLZ, SUITE 100, ASHBURN, VA 20147-5025
(703) 729-8700
(703) 729-5300
Mailing address
38661 LAYCOCK FARM CT, HAMILTON, VA 20158-9448
(540) 338-3970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0401007764
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066607
ANTHEM BCBS PROVIDER NUM
VA
01
—
067698
ANTHEM BCBS PROVIDER NUMB
VA
Enumeration date
12/18/2006
Last updated
07/09/2007
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