Bloom, Peter D

Bloom, Peter D is an individual health care provider with primary practice located at 60 Maple Rd Ste 1, Williamsville NY 14221-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bloom, Peter D can be contacted via phone (716) 626-5250.

Contact Information

Primary practice address
60 Maple Rd Ste 1 Williamsville NY 14221-2917
Phone: (716) 626-5250
Fax: (716) 332-2218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2375901 New York

Profile Details

NPI number 1316923253
LBN Legal business name Bloom, Peter D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 6th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316923253 NPPES
Other 7130845 AETNA
Other 104399 AETNA
Other 175336BT AETNA
Other 2313009 AETNA
Other 000528291001 AETNA
Other 00027351201 AETNA
MEDICAID 02697414 AETNA
Other 105127 AETNA

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