Individual
DR. TAMIR BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 RIDGEDALE AVE STE 101, CEDAR KNOLLS, NJ 07927-2109
(973) 538-7700
(973) 538-9478
Mailing address
218 RIDGEDALE AVE STE 101, CEDAR KNOLLS, NJ 07927-2109
(973) 538-7700
(973) 538-9478
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
25MA08322900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160245
—
NJ
Enumeration date
11/15/2006
Last updated
05/01/2024
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