Individual
DR. MICHAEL DAVID BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
316 WESLEY AVE, OCEAN CITY, NJ 08226-4039
(609) 399-0227
Mailing address
316 WESLEY AVE, OCEAN CITY, NJ 08226-4039
(609) 399-0227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01425500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3361101
—
NJ
Enumeration date
07/17/2006
Last updated
07/09/2007
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