Provider Demographics
NPI:1679511299
Name:BLUMBERG, HILARY PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:PATRICIA
Last Name:BLUMBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HILARY
Other - Middle Name:PATRICIA
Other - Last Name:BLUMBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13 ENO LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6413
Mailing Address - Country:US
Mailing Address - Phone:203-341-0498
Mailing Address - Fax:
Practice Address - Street 1:300 GEORGE ST
Practice Address - Street 2:SUITE 901
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6624
Practice Address - Country:US
Practice Address - Phone:203-785-6195
Practice Address - Fax:203-737-2513
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0367522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry