Bloom, Charles Henry

Bloom, Charles Henry is an individual health care provider with primary practice located at 815 Livingston Ave , New Brunswick NJ 08901-3344. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Bloom, Charles Henry can be contacted via phone (732) 249-6386.

Contact Information

Primary practice address
815 Livingston Ave New Brunswick NJ 08901-3344
Fax: (732) 249-6283
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 22DI01554800 New Jersey

Profile Details

NPI number 1174731954
LBN Legal business name Bloom, Charles Henry
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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