Provider Demographics
NPI:1790949428
Name:BLUMENTHAL, HAROLD L (VMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:BLUMENTHAL
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SHARP ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2444
Mailing Address - Country:US
Mailing Address - Phone:856-825-3434
Mailing Address - Fax:856-825-3529
Practice Address - Street 1:60 SHARP ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2444
Practice Address - Country:US
Practice Address - Phone:856-825-3434
Practice Address - Fax:856-825-3529
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100142600174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian