Individual
BROOKE ELIZABETH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
123 SUMMER ST STE 230S, WORCESTER, MA 01608-1216
(508) 368-3150
(508) 368-3152
Mailing address
123 SUMMER ST STE 230S, WORCESTER, MA 01608-1216
(508) 368-3150
(508) 368-3152
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1019879
MA
2084N0400X
Neurology Physician
73735
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153666A
—
MA
Enumeration date
03/21/2019
Last updated
10/31/2024
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