Basic Information
| Provider Information | |||||||||
| NPI: | 1053476051 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLUESTEIN | ||||||||
| FirstName: | MARLENE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2325N WYATT DR 105 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857122121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203242297 | ||||||||
| FaxNumber: | 5203241406 | ||||||||
| Practice Location | |||||||||
| Address1: | 5300 E. ERICKSON | ||||||||
| Address2: | #116 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857122809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203243940 | ||||||||
| FaxNumber: | 5203243935 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2006 | ||||||||
| LastUpdateDate: | 10/22/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 13289 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.