# BLOOMFIELD HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1376090423
- **Authorized official:** SONIA LASMIN (DIRECTOR)
- **Authorized official phone:** (347) 683-3008

## Contact information

- **Practice address:** 322 GLENWOOD AVENUE, BLOOMFIELD, NJ 07003
- **Practice address phone:** (862) 220-4261
- **Practice address fax:** (973) 748-2222
- **Mailing address:** PO BOX 1468, BLOOMFIELD, NJ 07003-1468
- **Mailing address phone:** (862) 220-4261
- **Mailing address fax:** (973) 748-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 05/10/2017