Individual
BROOKE J BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 CENTRE ST, BROCKTON, MA 02302-3308
(508) 697-8666
Mailing address
5 VIOLET CIR, SHARON, MA 02067-1509
(508) 697-8666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209728
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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