Avi Blumenthal, FNP | |
1235 Potomac Valley Rd, Rockville, MD 20850-2757 | |
(443) 929-1569 | |
Not Available |
Full Name | Avi Blumenthal |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1235 Potomac Valley Rd, Rockville, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407447444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R215110 (Maryland) | Primary |
363L00000X | Nurse Practitioner | R215110 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mnr Industries Llc | 7416908843 | 101 |
Entity Name | Mnr Industries Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088 |
Entity Name | Dialog Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235729153 PECOS PAC ID: 2860809878 Enrollment ID: O20210602000529 |
Mailing Address | Practice Location Address |
---|---|
Avi Blumenthal, FNP 6706 Chippewa Ct, Baltimore, MD 21209-1510 Ph: () - | Avi Blumenthal, FNP 1235 Potomac Valley Rd, Rockville, MD 20850-2757 Ph: (443) 929-1569 |
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