Individual
REENA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
75 SUMMIT AVE, SUMMIT, NJ 07901-3614
(908) 277-6886
Mailing address
75 SUMMIT AVE, SUMMIT, NJ 07901-3614
(908) 277-6886
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00097900
NJ
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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