Bloom, Gregory S

Bloom, Gregory S is an individual health care provider with primary practice located at 112 Quarry Rd Suite 400, Trumbull CT 06611-4816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bloom, Gregory S can be contacted via phone (203) 333-8800.

Contact Information

Primary practice address
112 Quarry Rd Suite 400 Trumbull CT 06611-4816
Phone: (203) 333-8800
Fax: (203) 333-6054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 045101 Connecticut
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 045101 Connecticut

Profile Details

NPI number 1316088248
LBN Legal business name Bloom, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Mar 7th, 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 1316088248 NPPES
Connecticut Other 045101 STATE LICENSE

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