Provider Demographics
NPI:1255323127
Name:BLUM, JULIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:E
Last Name:BLUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:409 SOUTH SECOND STREET
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 SPRINT DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7696
Practice Address - Country:US
Practice Address - Phone:717-960-3750
Practice Address - Fax:717-960-3734
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045077E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1866824Medicaid
PA050863Medicare PIN
PA1866824Medicaid