Bloom, Lee

Bloom, Lee is an individual health care provider with primary practice located at 410 Saybrook Rd Ste 100 , Middletown CT 06457-4780. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bloom, Lee can be contacted via phone (860) 685-8940.

Contact Information

Primary practice address
410 Saybrook Rd Ste 100 Middletown CT 06457-4780
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 68053 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 68053 Connecticut

Profile Details

NPI number 1801282470
LBN Legal business name Bloom, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Jun 21st, 2021 - about 3 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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