Bloom, Leonard Stuart

Bloom, Leonard Stuart is an individual health care provider with primary practice located at 9420 Key West Ave. Suite 420, Rockville MD 20850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bloom, Leonard Stuart can be contacted via phone (301) 258-1919.

Contact Information

Primary practice address
9420 Key West Ave. Suite 420 Rockville MD 20850
Phone: (301) 258-1919
Fax: (301) 258-9180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0039918 Maryland
Allopathic & Osteopathic Physicians / Urology 208800000X D39918 Maryland

Profile Details

NPI number 1114030301
LBN Legal business name Bloom, Leonard Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 6th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114030301 NPPES
Maryland MEDICAID 063461100

Popular Providers