David H Blom, DO
Specialist in Vineland, NJ. Individual provider (NPI-1).
NPI number1790776789
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790776789
- Entity type
- Individual (NPI-1)
- Name
- David H Blom
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1027 E Chestnut AveVineland, NJ 08360-5838
Phone 856-696-9550 · Fax 856-691-1686
Mailing address
1027 E Chestnut AveVineland, NJ 08360-5838
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