Individual
DR. DANIEL ALLEN BLUESTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033393
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003
TRICARE/CHAMPUS
VA
05
—
005612870
—
VA
05
—
005625475
—
VA
01
—
05186
BC/BS
NC
01
—
081921
ANTHEM
VA
01
—
11093
SENTARA
VA
01
—
2180430
UHC/MAMSI
VA
05
—
8905186
—
NC
01
—
PAR
AETNA
VA
Enumeration date
02/06/2006
Last updated
11/25/2009
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