Provider Demographics
NPI:1689785883
Name:BLUME, RALPH S (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:S
Last Name:BLUME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:SUITE 537
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-5512
Mailing Address - Fax:212-342-3462
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 537
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-5512
Practice Address - Fax:212-342-3462
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY094585207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B77983Medicare UPIN
576141Medicare ID - Type Unspecified