JEROME B BLUMENTHAL

WELLSTAR MEDICAL GROUP, LLC

Dr JEROME B BLUMENTHAL is a male medical professional, specializing in Internal Medicine. He graduated in 1963 from Emory University School Of Medicine.

Contact

WELLSTAR MEDICAL GROUP, LLC

625 CHURCH NEST
MARIETTA
GA
300601101

Tel: 7704222004

JEROME B BLUMENTHAL Information

Npi 1518957844
Pac Id 6406930429
Professional Enrollment Id I20080228000361
Last Name BLUMENTHAL
First Name JEROME
Middle Name B
Suffix
Gender M
Credential
Medical School Name EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1963
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Group Practice Pac Id 6709065402
Number Of Group Practice Members 1264
Line 1 Street Address 625 CHURCH NEST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MARIETTA
State GA
Zip Code 300601101
Phone Number 7704222004
Hospital Affiliation Ccn 1 110035
Hospital Affiliation Lbn 1 WELLSTAR KENNESTONE HOSPITAL
Hospital Affiliation Ccn 2 110143
Hospital Affiliation Lbn 2 WELLSTAR COBB HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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