Individual
DR. MATTHEW BRANDON BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 SAMARITAN DR, #504, SAN JOSE, CA 95124-4006
(408) 356-3753
Mailing address
2505 SAMARITAN DR, #504, SAN JOSE, CA 95124-4006
(408) 356-3753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A77610
CA
2086S0102X
Surgical Critical Care Physician
Primary
A77610
CA
Other
Enumeration date
11/01/2006
Last updated
03/23/2016
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