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Organization

BFPS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON DAVID BLOOM MD (OWNER)
(215) 900-2806
Entity
Organization

Contact information

Practice address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(215) 900-2806
Mailing address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(610) 762-5666

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003201614-003
UNITEDHEALTHCARE
PA
01
2075855
CIGNA
PA
01
3845396000
BLUE CROSS BLUE SHIELD OF PA / PERSONAL CHOICE / KEYSTONE HEALTH PLAN EAST
PA
01
834539600
AMERIHEALTH
PA
01
9547626
AETNA
PA
Enumeration date
08/04/2019
Last updated
12/09/2021
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