Individual
DR. KATHERINE ALEXIS BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 WALLS DR, SUITE 405, FAIRFIELD, CT 06824-5163
(203) 259-7070
(203) 254-7402
Mailing address
55 WALLS DR, SUITE 405, FAIRFIELD, CT 06824-5163
(203) 259-7070
(203) 254-7402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
047707
CT
Other
Enumeration date
05/13/2007
Last updated
12/16/2015
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