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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY BLOME, M.D.

Active Sole Proprietor

DR. MARY BLOME, M.D. is a Otolaryngology healthcare provider located in CRESSKILL, New Jersey. NPI 1780637140 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · CRESSKILL, NJ

Registration Details

NPI Number
1780637140
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2006 (20.264942377454 yrs)
Last Updated
Jul 12, 2007
License
MA46793 (NJ)
Sole Proprietor
Yes

Practice Information

Address
516 KNICKERBOCKER RD
CRESSKILL, NJ, 076261022
Browse NJ providers · Browse ZIP 07626
Phone
2015673898
Fax
2015674164
Primary Specialty
Otolaryngology
207Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.