Organization
DAVID L BLOOM PA
Active
Parent organization
DAVID L BLOOM PA
Other names
Colonnade Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID L BLOOM PA
Authorized official
DAVID L BLOOM MD (PRESIDENT)
(973) 707-1100
Entity
Organization
Contact information
Practice address
100 FULFORD AVE, BEL AIR, MD 21014-3812
(888) 440-6494
(410) 838-7895
Mailing address
1430 SPRING HILL RD, SUITE 500, MC LEAN, VA 22102-3000
(703) 287-4189
(703) 448-1807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MD
Other
Enumeration date
08/29/2005
Last updated
07/21/2022
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