Individual
ALLYSON KELLY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
729 MASSACHUSETTS AVE, BOSTON, MA 02118-2318
(781) 221-6565
Mailing address
48 BEACON ST, APARTMENT 7F, BOSTON, MA 02108-3641
(857) 383-8160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221262
MA
Other
Enumeration date
02/27/2007
Last updated
08/30/2007
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