Individual
JORDAN P. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-247572
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
258111
MA
Other
Enumeration date
06/23/2011
Last updated
06/26/2023
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