Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen Daniel Blomstrom, MD

Individual provider Emergency Medicine Physician · NPI 1336378991

Dr. Glen Daniel Blomstrom, MD is an Emergency Medicine in Waterbury, Connecticut. Qualified in 2009, 17 years ago. Practices with Danbury Hospital, a 50-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

56 Franklin St Saint Mary's Hospital Dept OF Emergency Medicine
Waterbury, CT 06706-1253
Phone: (203) 709-6004
Fax: (203) 709-3710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 051665 (CT)

Record details

NPI number1336378991
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2009
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address56 Franklin St, Saint Mary'S Hospital Department Of Emergency Medicine, Waterbury, CT 06706-1253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Danbury Hospital — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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