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1477536068
KENNETH EDWARD BLOOM
BRONX, NY
NPI
1477536068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NY 169466)
Enumeration Date
2005-11-28
Last Update Date
2019-08-22
Business Address
KENNETH EDWARD BLOOM M.D.
1455 WEST AVE
BRONX, NY 10462-7304
Phone number: 718-239-1500
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Mailing Address
KENNETH EDWARD BLOOM M.D.
200 CENTRAL PARK S APT 107
NEW YORK, NY 10019-1449
Phone number: 212-262-2500
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