Tara K Blum, B.S.

NPI #1619392057 in Orwigsburg, Pennsylvania

Provider Information

NPI Number: 1619392057
Entity Type: Individual
Name: Tara K Blum, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: B.S.
Enumeration Date: Feb 21, 2014
Last Updated: Feb 21, 2014

Practice Location

Address: 1006 RIDGEVIEW DR
City: Orwigsburg
State: Pennsylvania
ZIP Code: 17961-2332
Phone: (570) 807-6420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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