Blaum Breast Care Specialist LLC

NPI #1467723866 in Kingston, Pennsylvania

Provider Information

NPI Number: 1467723866
Entity Type: Organization
Organization Name: Blaum Breast Care Specialist LLC
Primary Specialty: Surgery
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 480 PIERCE ST
Address 2: NEW BRIDGE CENTER, SUITE #312-314
City: Kingston
State: Pennsylvania
ZIP Code: 18704-5512
Phone: (570) 714-3911

Authorized Official

Name: BETH A BRENNAN
Title: BILLING MANAGER
Phone: (570) 693-6163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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