LAWRENCE MICHAEL BLOOM

NEW YORK, NY
NPI1275805848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  0967331)
Enumeration Date2012-01-30
Last Update Date2012-01-30
Business Address
-- LAWRENCE MICHAEL BLOOM M.D.
31 WASHINGTION SQUARE WEST
NEW YORK, NY 10011-0000
Phone number: 973-746-0447
Mailing Address
-- LAWRENCE MICHAEL BLOOM M.D.
517 PARK ST
UPPER MONTCLAIR, NJ 07043-1963
Phone number: 973-746-0447
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