Individual
DR. BRAD E. BLOOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1449 BOARDMAN CANFIELD RD STE 230, BOARDMAN, OH 44512-8053
(330) 758-6671
(330) 758-1451
Mailing address
810 PARK HARBOUR DR., YOUNGSTOWN, OH 44512
(330) 758-6282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4008/T-032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0754045
—
OH
Enumeration date
10/02/2006
Last updated
09/18/2020
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