Individual
STEPHEN M. BLOOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
15788
WV
207T00000X
Neurological Surgery Physician
Primary
25MA07924300
NJ
207T00000X
Neurological Surgery Physician
MD420330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069949
—
NJ
Enumeration date
07/28/2005
Last updated
04/03/2008
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