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
Phone: (860) 685-8940
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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