Individual
MR. WILLIAM S. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 S MAIN ST, HANOVER, NH 03755-2053
(603) 643-3232
(603) 643-1877
Mailing address
80 S MAIN ST, HANOVER, NH 03755-2053
(603) 643-3232
(603) 643-1877
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0011254
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009344
—
VT
Enumeration date
07/03/2006
Last updated
08/01/2007
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