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1568643096
BRADLEY J BLOOM
PROVIDENCE, RI
NPI
1568643096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0216X Pediatrics, Pediatric Rheumatology
(Licence: RI MD08885)
Enumeration Date
2007-11-27
Last Update Date
2008-02-29
Business Address
-- BRADLEY J BLOOM MD
1 HOPPIN ST CORO WEST
PROVIDENCE, RI 02903-4141
Phone number: 401-793-8560
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Mailing Address
-- BRADLEY J BLOOM MD
593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6484
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