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Individual

MR. JONATHAN B. BLITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2810 LONG BEACH BLVD, LONG BEACH, CA 90806-1558
(562) 933-1877
(562) 933-1886
Mailing address
2810 LONG BEACH BLVD, LONG BEACH, CA 90806-1558
(562) 933-1877

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G062021
CA
207RH0003X
Hematology & Oncology Physician
Primary
G062021
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0029650
CA
Enumeration date
03/28/2006
Last updated
01/03/2018
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