Individual
DR. LAWRENCE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 JAMESTOWN ST, STE. 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456
Mailing address
525 JAMESTOWN ST, STE. 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD020108-E
PA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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