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Individual

ERIC J BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5501 OLD YORK ROAD, MOSS 4TH FLOOR, SLEY BUILDING, EINSTEIN NEPHROLOGY ASSOCIATES, PHILADELPHIA, PA 19141
(215) 456-6970
(215) 456-7154
Mailing address
5501 OLD YORK ROAD, MOSS 4TH FLOOR, SLEY BUILDING, EINSTEIN NEPHROLOGY ASSOCIATES, PHILADELPHIA, PA 19141
(215) 456-6970
(215) 456-7154

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD035775E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001177795
RI
Enumeration date
03/09/2006
Last updated
09/11/2015
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