Individual
JOSHUA DAVID BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
308912
NY
207P00000X
Emergency Medicine Physician
Primary
MD19205
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
06/16/2023
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