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Individual

DR. THOMAS BLOOM

Active
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Individual

DR. THOMAS BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
167049
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000083377007
UNITEDHEALTHCARE
NY
01
000083377009
UNITEDHEALTHCARE
NY
01
010167049NY01
ANTHEM
NY
01
010167049NY02
ANTHEM
NY
05
01824886
NY
01
167049
HIP
NY
01
2697963
GHI
NY
01
4061374
AETNA US HEALTHCARE
NY
01
487Y21
EMPIRE HEALTHCHOICE
NY
01
487Y22
EMPIRE HEALTH CHOICE
NY
01
4C1906
HEALTHNET
NY
01
6628678003
CIGNA
NY
01
73546
VYTRA
NY
01
74747
VYTRA
NY
01
DP093
OXFORD
NY
Enumeration date
11/22/2006
Last updated
03/07/2023
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