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Contact Information

MARK A BLUMBERG, MD
3455 MAIN ST
SUITE 5
SPRINGFIELD, MA01107-1147
 Phone: 413-733-9600
 Fax: 413-732-6534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARK A BLUMBERG · (Male)

NPI # 1588662019
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2005
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 223863
  • Other 223863 CONNECTICARE
  • Other 36373 HEALTH NEW ENGLAND
  • Other P00231584 RAILROAD MEDICARE
  • Other 470305 TUFTS HEALTH PLANS
  • MA Other J28609 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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