Individual
STEPHEN M. BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, NEMC BOX 7105, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, NEMC BOX 7105, BOSTON, MA 02111-1526
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32299
MA
Other
Enumeration date
10/21/2006
Last updated
04/26/2010
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