Individual
JOSEPHUS TH BLOEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 ZEBULON RD, ROCKY MOUNT, NC 27804
(252) 937-2663
(252) 937-4894
Mailing address
3101 ZEBULON RD, ROCKY MOUNT, NC 27804
(252) 937-2663
(252) 937-4894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24225
NC
207X00000X
Orthopaedic Surgery Physician
Primary
24225NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7916305
—
NC
05
—
890230W
—
NC
Enumeration date
12/16/2005
Last updated
03/30/2010
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