# BLOOM OB GYN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093168809
- **Authorized official:** DR. SCOTT OSMUN MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (202) 449-9570

## Contact information

- **Practice address:** 4001 BRANDYWINE ST NW STE 300, WASHINGTON, DC 20016-1876
- **Practice address phone:** (202) 449-9570
- **Practice address fax:** (202) 449-9513
- **Mailing address:** 4001 BRANDYWINE ST NW, SUITE 300, WASHINGTON, DC 20016-1876
- **Mailing address phone:** (202) 449-9570
- **Mailing address fax:** (202) 449-9513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2016
- **Last updated:** 03/26/2019