Individual
DR. ANDREW M BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
805 COOPER RD, SUITE 3, VOORHEES, NJ 08043
(856) 751-1777
(856) 751-8090
Mailing address
805 COOPER RD, SUITE 3, VOORHEES, NJ 08043
(856) 751-1777
(856) 751-8090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB06825300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5520304
—
NJ
01
—
558697
GROUP PTAN
NJ
Enumeration date
07/27/2006
Last updated
01/14/2022
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