Bloom, Roy D
Bloom, Roy D is an individual health care provider with primary practice located at 3400 Spruce St 210 White Building, Philadelphia PA 19104-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bloom, Roy D can be contacted via phone (215) 662-2638.Contact Information
Primary practice address
3400 Spruce St 210 White Building
Philadelphia PA 19104-4206
Phone: (215) 662-2638
Fax: (215) 349-5703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD041209L | Pennsylvania |
Profile Details
| NPI number | 1528093663 |
|---|---|
| LBN Legal business name | Bloom, Roy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 11th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528093663 | NPPES |
| Pennsylvania | MEDICAID | 001479590 |
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