Provider Demographics
NPI:1033322607
Name:BLUMBERG, NEIL HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:HOWARD
Last Name:BLUMBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 E PADONIA RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2345
Mailing Address - Country:US
Mailing Address - Phone:410-561-1156
Mailing Address - Fax:410-683-0332
Practice Address - Street 1:30 E PADONIA RD
Practice Address - Street 2:SUITE 206
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2345
Practice Address - Country:US
Practice Address - Phone:410-561-1156
Practice Address - Fax:410-683-0332
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD223432084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry