Provider Demographics
NPI:1740708072
Name:BLUME OEUR, JULIE ANN (MACOM)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:BLUME OEUR
Suffix:
Gender:F
Credentials:MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 MAIN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2322
Mailing Address - Country:US
Mailing Address - Phone:603-731-0498
Mailing Address - Fax:
Practice Address - Street 1:933 MAIN ST UNIT 2
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2322
Practice Address - Country:US
Practice Address - Phone:603-731-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist