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Individual

GEOFFREY B BLOSSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3525 OLENTANGY RIVER RD, SUITE 5300, COLUMBUS, OH 43214-3937
(614) 566-3500
(614) 533-0150
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4134

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35069942
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0238899
OH
Enumeration date
07/20/2005
Last updated
12/22/2021
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