Individual
RICHARD DAVID BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
179 ROUTE 6A, BRIARPATCH PEDIATRICS, YARMOUTH PORT, MA 02675-1714
(508) 362-5727
Mailing address
179 ROUTE 6A, BRIARPATCH PEDIATRICS, YARMOUTH PORT, MA 02675-1714
(508) 362-5727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78931
MA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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