Individual
DAVID J BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5555
(570) 271-6578
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5555
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001742L
PA
Other
Enumeration date
07/07/2006
Last updated
09/22/2008
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