NPI 1275577355 · live from the CMS NPI Registry
Theodore James Blum, M.D.
Family Medicine in Bethel, CT. National Provider Identifier 1275577355, active.
NPI record
| NPI | 1275577355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5 School St, Bethel, CT 06801 |
| Practice phone | 203-743-0799 |
| Enumerated | June 16, 2006 |
| Last updated | July 13, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 020482 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.