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Individual
BRADLEY J BLOOM
Active
Individual
BRADLEY J BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
MD08885
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD08885
LICENSE
RI
Enumeration date
11/27/2007
Last updated
02/29/2008
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