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Individual
DR. JOAN M BLOOM
Active
Individual
DR. JOAN M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8563
ID
207RC0000X
Cardiovascular Disease Physician
M-8563
ID
Other
Enumeration date
08/30/2006
Last updated
05/11/2021
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