Individual provider · Type 1 NPI
George Bloom
Student in an Organized Health Care Education/Training Program · Stratford, CT
NPI number
1407796568
Active
Practice location
185 Old Coach Ln
Stratford, CT 06614-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1407796568
George Bloom's National Provider Identifier is 1407796568, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stratford, CT. The record was last updated on Mar 30, 2026.