# BLOOM HEALTHCARE LIMITED

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

## Provider details

- **NPI number:** 1821790775
- **Authorized official:** DR. ANTHONY RICCO MD (PHYSICIAN)
- **Authorized official phone:** (610) 574-2322

## Contact information

- **Practice address:** 116 E MONTGOMERY AVE UNIT 111, ARDMORE, PA 19003-2434
- **Practice address phone:** (610) 574-2322
- **Mailing address:** 116 E MONTGOMERY AVE UNIT 111, ARDMORE, PA 19003-2434
- **Mailing address phone:** (610) 574-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 03/21/2023