Individual provider · Type 1 NPI

Lawrence Michael Bloom, MD

Specialist · New York, NY

NPI number 1275805848 Active

Practice location

31 Washingtion Square West
New York, NY 10011-0000

Call (973) 746-0447 Map

Mailing address

517 Park St
Upper Montclair, NJ 07043-1963

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0967331 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275805848

Lawrence Michael Bloom, MD's National Provider Identifier is 1275805848, issued on Jan 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2012.