Individual
ERIKA L. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1030 PRESIDENT AVE, STE 1004, FALL RIVER, MA 02720-5923
(508) 973-9600
(508) 973-9615
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EB78558
—
RI
Enumeration date
10/04/2005
Last updated
01/07/2016
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