Individual
MICHAEL BLUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD14551
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022471200
—
DC
05
—
347561100
—
MD
05
—
6000771
—
VA
Enumeration date
05/22/2006
Last updated
10/03/2013
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