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Contact Information

PETER A BLUME, DPMFACFAS
508 BLAKE ST
NEW HAVEN, CT06515-1287
 Phone: 203-397-0624
 Fax: 203-397-0372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PETER A BLUME · (Male)

NPI # 1376526814
Status Active
Credentials DPMFACFAS
Entity Individual
Enumeration date 11/29/2005
Last updated 11/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000581
  • CT Medicaid 004121414
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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