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DR. THEODORE JAMES BLUM M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275577355

Individual Registrant:
DR. THEODORE JAMES BLUM M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
5 SCHOOL ST  BETHEL, CT 06801-1854 US
Tel: 203-743-0799  Fax: 203-778-2997

Contact information for business:
5 SCHOOL ST  BETHEL, CT 06801-1854 US
Tel: 203-743-0799  Fax: 203-778-2997

Registration Information:
NPI: 1275577355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CT020482

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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