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NPI Code Detail

MEDICARE: DR. KARL R BLUM MD

MEDICARE: DR. KARL R BLUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician25MA06431000NJ

General Provider Information

NPI Number : 1154361285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARL R BLUM MD
Provider Business Mailing Address
First Line : 530 LAKEHURST RD STE 101
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-8063
Country : US
Telephone Number : 732-349-8454
Fax Number : 732-341-0259
Provider Business Practice Location Address
First Line : 530 LAKEHURST RD STE 101
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-8063
Country : US
Telephone Number : 732-349-8454
Fax Number : 732-341-0259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/25/2025

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Directions to “ DR. KARL R BLUM MD” Practice Location

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