Individual
ROBERT WESLEY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-2370
(215) 955-0677
Mailing address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4870
(215) 955-2370
(215) 955-0677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1578142428
PA
207L00000X
Anesthesiology Physician
Primary
25MA12894100
NJ
Other
Enumeration date
04/07/2021
Last updated
12/11/2025
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