Dr. Theodore J Blum, MD
Family Medicine in Bethel, Connecticut
1275577355- Practice location
- 5 School St, Bethel, CT 06801-1854
- Phone
- 203-743-0799
- Fax
- 203-778-2997
- Last updated
- July 13, 2010
Theodore James Blum is a Family Medicine based in Bethel, CT. Theodore James Blum practices in Bethel, CT and has the professional credentials of MD. The NPI Number for Theodore James Blum is 1275577355 and holds a License No. 020482 (CT). The current practice location address for Theodore James Blum is 5 School St, Bethel, CT 06801-1854 and can be reached out via phone at 203-743-0799 and via fax at 203-778-2997.
Provider Profile Details
- NPI Number
- 1275577355
- Provider Name
- Theodore James Blum
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 School St, Bethel, CT 06801-1854
- Phone Number
- 203-743-0799
- Fax Number
- 203-778-2997
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 16, 2006
- Last Update Date
- July 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 School St
Bethel, CT 06801-1854 - City
- Bethel
- State
- Connecticut
- Zip
- 06801-1854
- Phone Number
- 203-743-0799
- Fax Number
- 203-778-2997
Provider Business Mailing Address Details
- Address
- 5 School St
Bethel, CT 06801-1854 - City
- Bethel
- State
- CT
- Zip
- 06801-1854
- Phone Number
- 203-743-0799
- Fax Number
- 203-778-2997
License Information
- License Number
- 020482
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Bethel, CT
View all Family Medicine providers in Bethel →Frequently Asked Questions
What is the NPI number of Dr. Theodore J Blum, MD?
The NPI number of Dr. Theodore J Blum, MD is 1275577355. It was assigned on June 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore J Blum, MD?
Dr. Theodore J Blum, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 020482.
Where does Dr. Theodore J Blum, MD practice?
The practice location is 5 School St, Bethel, CT 06801-1854. The office can be reached at 203-743-0799 (phone) or 203-778-2997 (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 1275577355 directly on the NPPES registry website.