Provider Demographics
NPI:1417306309
Name:BLUTSTEIN, REBEKAH (MD)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:
Last Name:BLUTSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-947-1447
Mailing Address - Fax:215-947-2603
Practice Address - Street 1:1650 HUNTINGDON PIKE STE 320
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8074
Practice Address - Country:US
Practice Address - Phone:215-947-1447
Practice Address - Fax:215-947-2603
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467509208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics