Individual
DR. MELISSA M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1314 S KING ST, SUITE 514, HONOLULU, HI 96814-1956
(808) 591-8611
Mailing address
1314 S KING ST, SUITE 514, HONOLULU, HI 96814-1956
(808) 591-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13104
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57549102
—
HI
Enumeration date
09/26/2006
Last updated
08/08/2016
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