Individual
GARY BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, SUITE 608, HONOLULU, HI 96813-2449
(808) 536-2261
(808) 538-3957
Mailing address
1380 LUSITANA ST, SUITE 608, HONOLULU, HI 96813-2449
(808) 536-2261
(808) 538-3957
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M6535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912102500
—
HI
Enumeration date
06/15/2007
Last updated
05/09/2011
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