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Contact Information

HAYWOOD BLUM, M.D., PH.D.
GOOD SAMARITAN REGIONAL MEDICAL CENTER, EMERGENCY DEPT
700 E NORWEGIAN ST
POTTSVILLE, PA17901
 Phone: 570-621-4656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for HAYWOOD BLUM · (Male)

NPI # 1689623324
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/09/2006
Last updated 12/26/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD027475E
  • PA Medicaid 0012931210014
Hospital affiliation(s) Not Available
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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