Individual
DR. DAVID BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 635, BOSTON, MA 02114-3117
(617) 724-4600
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6191738
—
MA
01
—
724321
TUFTS HEALTH PLAN
MA
01
—
J04452
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
03/16/2012
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