NPI Profile for ANDREW J BLOOM in ENGLEWOOD, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI # | 1750919957 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/01/2020 | |
| Last updated | 10/09/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANDREW J BLOOM
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