Bloom, Andrew James

Bloom, Andrew James is an individual health care provider with primary practice located at 150 Bergen St # G-142 , Newark NJ 07103-2496. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bloom, Andrew James can be contacted via phone (973) 972-5088.

Contact Information

Primary practice address
150 Bergen St # G-142 Newark NJ 07103-2496
Phone: (973) 972-5088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00373000 New Jersey

Profile Details

NPI number 1750919957
LBN Legal business name Bloom, Andrew James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Nov 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750919957 NPPES
New Jersey MEDICAID 0908096

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