Individual
DR. JASON DAVID BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(610) 762-5666
(484) 380-3550
Mailing address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(610) 762-5666
(484) 380-3550
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MT186824
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
256050
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD432401
PA
Other
Enumeration date
12/28/2006
Last updated
12/09/2021
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