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Individual

ALEXI BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6550 FANNIN ST, SMITH TOWER 1661, HOUSTON, TX 77030-2717
(713) 441-6172
Mailing address
101 E OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD474872
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2015
Last updated
08/17/2021
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