DENNIS BLOM

UTICA, NY
NPI1376501940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NY  196361)
Additional Taxonomies208600000X Surgery
(Licence: IN  1060363A)
Enumeration Date2006-05-03
Last Update Date2018-09-11
Business Address
Mr. DENNIS BLOM MD
2202 GENESEE ST
UTICA, NY 13502
Phone number: 315-732-0349
Mailing Address
Mr. DENNIS BLOM MD
2202 GENESEE ST
UTICA, NY 13502
Phone number: 315-732-0349