Provider Demographics
NPI:1538288709
Name:BLUMENKRANZ, UZIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:UZIEL
Middle Name:
Last Name:BLUMENKRANZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 19TH ST NW STE 208
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-2448
Mailing Address - Country:US
Mailing Address - Phone:202-783-6664
Mailing Address - Fax:202-783-6665
Practice Address - Street 1:1234 19TH ST NW STE 208
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-2448
Practice Address - Country:US
Practice Address - Phone:202-783-6664
Practice Address - Fax:202-783-6665
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10002071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC522-372-719OtherTAX I.D.
DC274325OtherUNITED HEALTHCARE
DC1432220OtherUNITED CONCORDIA