Individual
GARY M BLOOMGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
023954
CT
207T00000X
Neurological Surgery Physician
C1-0028216
DE
207T00000X
Neurological Surgery Physician
D0102167
MD
207T00000X
Neurological Surgery Physician
Primary
Q0224
TX
Other
Enumeration date
08/01/2006
Last updated
08/08/2025
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