Organization
BLOEM ORTHOPAEDIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHUS TH. BLOEM M.D. (OWNER)
(252) 937-2663
Entity
Organization
Contact information
Practice address
3101 ZEBULON RD, ROCKY MOUNT, NC 27804-2426
(252) 937-2663
(252) 937-4894
Mailing address
3101 ZEBULON RD, ROCKY MOUNT, NC 27804
(252) 937-2663
(252) 937-4894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890230W
—
NC
Enumeration date
06/15/2006
Last updated
03/03/2010
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