STANLEY BLOOM

OLD FORGE, NY
NPI1003041377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: NY  099606-1)
Enumeration Date2009-05-15
Last Update Date2009-05-15
Business Address
-- STANLEY BLOOM md
138 GOODELL RD
OLD FORGE, NY 13420
Phone number: 315-369-2003
Mailing Address
-- STANLEY BLOOM md
10760 NORTH GREEN DR
LAKE WORTH, FL 33449
Phone number: 561-432-2020