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Individual

RICHARD J. BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G47974
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G479740
CA
Enumeration date
10/31/2006
Last updated
07/08/2007
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