Individual
DR. FREDERICK NEIL BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
64 PALOMBA DR, ENFIELD, CT 06082-3844
(860) 745-2712
(860) 741-3109
Mailing address
64 PALOMBA DR, ENFIELD, CT 06082-3844
(860) 745-2712
(860) 741-3109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4358
CT
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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