Doctor Name: | MR. STEVEN HOWARD BLOOM |
NPI Number: | 1528282837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPHTHALMIC DISPENSER |
License Number: | D1454 |
Business Practice Address: | Galaxsee Optical, Mall At Galaxy 7000 Blvd. East Guttenberg, NJ - 07093 |
Business Phone Number: | 2018543937 |
Business Fax Number: | 2018543298 |
Mailing Address: | Galaxsee Optical, Mall At Galaxy, 7000 Blvd. East GUTTENBERG |
State: | NJ |
Postal Code: | 07093 |
Phone Number: | 2018543937 |
Fax Number: | 2018543298 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | D1454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |