Individual
GEORGE PETER BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, STE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 524-2650
Mailing address
85 SEYMOUR ST, STE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 524-2650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017030
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017030CT01
ANTHEM BCBS
CT
01
—
070122
CONNECTICARE
CT
01
—
0S2059
HEALTH NET
CT
01
—
10676
HEALTH NEW ENGLAND
CT
01
—
4413430 003
CIGNA
CT
01
—
6126618
MASSHEALTH
MA
01
—
669768
AETNA
CT
01
—
P888862
OXFORD
CT
Enumeration date
08/22/2005
Last updated
07/08/2007
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