Individual
RONALD JEFFREY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 COTTAGE GROVE RD, COTTAGE GROVE CARDIOLOGY, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, COTTAGE GROVE CARDIOLOGY, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
025827
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001258276
—
CT
01
—
060000233
MEDICARE
CT
01
—
060005792
RAILROAD MEDICARE
CT
Enumeration date
03/10/2006
Last updated
09/16/2016
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