Individual
GERALD S BLOOMFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8490
Mailing address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2007-00747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003019800
—
MD
05
—
5907729
—
NC
Enumeration date
04/22/2006
Last updated
07/13/2023
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