Bloom, George Peter
Bloom, George Peter is an individual health care provider with primary practice located at 85 Seymour St Ste 415, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloom, George Peter can be contacted via phone (860) 246-2071.Contact Information
Primary practice address
85 Seymour St Ste 415
Hartford CT 06106-5501
Phone: (860) 246-2071
Fax: (860) 524-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 017030 | Connecticut |
Profile Details
| NPI number | 1578555900 |
|---|---|
| LBN Legal business name | Bloom, George Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578555900 | NPPES |
| Connecticut | Other | 10676 | HEALTH NEW ENGLAND |
| Connecticut | Other | 0S2059 | HEALTH NEW ENGLAND |
| Connecticut | Other | P888862 | HEALTH NEW ENGLAND |
| Connecticut | Other | 070122 | HEALTH NEW ENGLAND |
| Connecticut | Other | 4413430 003 | HEALTH NEW ENGLAND |
| Connecticut | Other | 6126618 | HEALTH NEW ENGLAND |
| Connecticut | Other | 669768 | HEALTH NEW ENGLAND |
| Connecticut | Other | 010017030CT01 | HEALTH NEW ENGLAND |
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