Individual
DR. THOMAS J BLUMENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5725 W LAS POSITAS BLVD STE 200, PLEASANTON, CA 94588-4007
(925) 272-2860
Mailing address
5725 W LAS POSITAS BLVD STE 200, PLEASANTON, CA 94588-4007
(925) 272-2860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G75858
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G075858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G758580
BLUE SHIELD OF CA
CA
05
—
00G758580
—
CA
01
—
P00320223
MEDICARE RAILROAD
CA
Enumeration date
03/07/2006
Last updated
04/22/2020
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