Active NPIIndividual provider

Dr. Thomas M Blum, MD

Internal Medicine in Mystic, Connecticut

NPI Number1194710210
Practice location
200 Sandy Hollow RD, Mystic, CT 06355-1720
Fax
860-572-7758
Last updated
December 22, 2009

Thomas March Blum is an Internal Medicine based in Mystic, CT. Thomas March Blum practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Thomas March Blum is 1194710210 and holds a License No. 028001 (CT). The current practice location address for Thomas March Blum is 200 Sandy Hollow RD, Mystic, CT 06355-1720 and can be reached out via phone at 860-572-8911 and via fax at 860-572-7758.

Provider Profile Details

NPI Number
1194710210
Provider Name
Thomas March Blum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Sandy Hollow RD, Mystic, CT 06355-1720
Phone Number
860-572-8911
Fax Number
860-572-7758
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2005
Last Update Date
December 22, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Sandy Hollow RD
Mystic, CT 06355-1720
City
Mystic
Zip
06355-1720
Phone Number
860-572-8911
Fax Number
860-572-7758
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
93 Library St
Mystic, CT 06355-2419
City
Mystic
State
CT
Zip
06355-2419
Phone Number
860-572-8911
Fax Number
860-572-7758

License Information

License Number
028001
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas M Blum, MD?

The NPI number of Dr. Thomas M Blum, MD is 1194710210. It was assigned on September 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas M Blum, MD?

Dr. Thomas M Blum, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 028001.

Where does Dr. Thomas M Blum, MD practice?

The practice location is 200 Sandy Hollow RD, Mystic, CT 06355-1720. The office can be reached at 860-572-8911 (phone) or 860-572-7758 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194710210 directly on the NPPES registry website.

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