Blumental, George

Blumental, George is an individual health care provider with primary practice located at 49 Pearl St Ste Dob-915, Brockton MA 02301-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blumental, George can be contacted via phone (508) 580-1020.

Contact Information

Primary practice address
49 Pearl St Ste Dob-915 Brockton MA 02301-2817
Phone: (508) 580-1020
Fax: (508) 583-6232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 28931 Massachusetts

Profile Details

NPI number 1285611970
LBN Legal business name Blumental, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285611970 NPPES
Massachusetts MEDICAID 2077507

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