Brian P Bloom MD

NPI 1093708570 - Radiology - 2085R0202X

NPI Details
NPI 1093708570
Gender Male
Enumeration Date 08/30/2005
Last Updated 09/11/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4520 UNION DEPOSIT RD
HARRISBURG PA, 17111-2910, US
Phone (717) 652-6105
Fax (717) 652-8152
Business Location
4520 UNION DEPOSIT RD
HARRISBURG PA, 17111-2910, US
Phone (717) 652-6105
Fax (717) 652-2165
Toxanomy
Taxonomy Code 2085R0202X
License State Pennsylvania
License Number MD06226L
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According to our database, Brian P Bloom MD NPI is 1093708570, taxonomy code is 2085R0202X and license number is MD06226L, license state is located at Pennsylvania. Brian P Bloom MD physically located at 4520 Union Deposit Rd, Harrisburg PA, 17111-2910. NPI Number Brian P Bloom MD has the Individual type.

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1093708570 NPI number is provided on an as is basis without warranty of any kind. 1093708570 is maintained by the National Plan & Provider Enumeration System. The contents of Brian P Bloom MD are for informational purposes only.