Bloom, Robert Leslie

Bloom, Robert Leslie is an individual health care provider with primary practice located at Northern Virigina Pulmonary & Critical Care Assoc. Pc 3289 Woodburn Road, 350, Annandale VA 22003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bloom, Robert Leslie can be contacted via phone (703) 641-8616.

Contact Information

Primary practice address
Northern Virigina Pulmonary & Critical Care Assoc. Pc 3289 Woodburn Road, 350 Annandale VA 22003
Phone: (703) 641-8616
Fax: (703) 641-9468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101027660 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101027660 Virginia

Profile Details

NPI number 1821014846
LBN Legal business name Bloom, Robert Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 1st, 2010 - about 15 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 1821014846 NPPES
Virginia MEDICAID 006076777

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