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DAVID S BLOOM MD
Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1619931011
Individual Registrant: DAVID S BLOOM MD
Gender: M
Gender: M
Location and contact information for practice:
1350 S ELISEO DR STE 130 GREENBRAE, CA 94904 US
Tel: 415-925-6900 Fax: 415-925-6919
Tel: 415-925-6900 Fax: 415-925-6919
Contact information for business:
1350 S ELISEO DR STE 130 GREENBRAE, CA 94904 US
Tel: 415-925-6900 Fax: 415-925-6919
Tel: 415-925-6900 Fax: 415-925-6919
Registration Information:
NPI: 1619931011
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RG0100X | Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology | CA | G008236 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
