Bloom, Jacob Cameron

Bloom, Jacob Cameron is an sole proprietor health care provider with primary practice located at 830 Harrison Ave Fl 1 , Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bloom, Jacob Cameron can be contacted via phone (617) 638-8124.

Contact Information

Primary practice address
830 Harrison Ave Fl 1 Boston MA 02118-2905
Phone: (617) 638-8124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 280111 Massachusetts

Profile Details

NPI number 1760942494
LBN Legal business name Bloom, Jacob Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2019
Last updated Mar 28th, 2023 - about 2 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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