Organization Name: | DAVID L BLOOM PA |
NPI Number: | 1396738704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L BLOOM (MD) |
Mailing Address: | 7401 Forbes Blvd Ste A Seabrook |
State: | MD US |
Postal Code: | 207062288 |
Phone Number: | 3014646400 |
Fax Number: | 3014646404 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 09/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |