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DR. GREGORY S BLOOM MD

Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316088248

Individual Registrant:
DR. GREGORY S BLOOM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
112 QUARRY RD SUITE 400 TRUMBULL, CT 06611-4816 US
Tel: 203-333-8800  Fax: 203-333-6054

Contact information for business:
112 QUARRY RD SUITE 400 TRUMBULL, CT 06611-4816 US
Tel: 203-333-8800  Fax: 203-333-6054

Registration Information:
NPI: 1316088248
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
Cardiovascular Disease
CT045101
N207UN0901XAllopathic & Osteopathic Physicians
Nuclear Medicine
CT045101

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE045101CT01
DEAFB0177863CT01




HEALTH CARE JOBS CT - Page 1



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