Neil Howard Blumberg, M.D.

Individual provider Active NPI Forensic Psychiatry Physician · Timonium, MD

NPI 1033322607 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033322607
Entity type
Individual (NPI type 1)
Primary specialty
Forensic Psychiatry Physician 2084F0202X
License
D22343 (MD)
Practice address
30 E Padonia Rd
Suite 206
Timonium, MD 21093-2345
Phone
(410) 561-1156
Fax
(410) 683-0332
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D22343MDMDForensic Psychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X D22343 MD Yes

Addresses

Primary practice location

30 E Padonia Rd
Suite 206
Timonium, MD 21093-2345

Mailing address

30 E Padonia Rd
Suite 206
Timonium, MD 21093-2345
Phone (410) 561-1156

Other providers in Timonium, MD

All providers in Timonium, MD · Forensic Psychiatry Physician in Maryland

Sources for this page

Verify at the official NPI Registry.