Individual
MRS. SANDRA L BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2119 HIGHWAY 33, SUITE B, HAMILTON SQUARE, NJ 08690-1740
(609) 581-5303
(609) 631-6839
Mailing address
PO BOX 10439, TRENTON, NJ 08650-4039
(609) 581-5303
(609) 631-6839
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00250700
NJ
Other
Enumeration date
08/29/2006
Last updated
11/16/2011
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