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Contact Information

JOSHUA D BLOOM, MD
593 EDDY ST.
CLAVERICK 2
PROVIDENCE, RI02903
 Phone: 401-444-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOSHUA D BLOOM · (Male)

NPI Number 1962999797
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2018
Last updated 06/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 308912
  • RI License # MD19205
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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