Individual provider · Type 1 NPI

Ry Bloomdahl, MD, MPH

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1740636984 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1253

Call (203) 709-6479 Map

Mailing address

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Other practice locations

  • 1 Guthrie Sq, Sayre, PA 18840-1625 · (570) 887-3585

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XMT210477 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1740636984

Ry Bloomdahl, MD, MPH's National Provider Identifier is 1740636984, issued on May 6, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Apr 14, 2020.