ANDREW JAMES BLOOM

NEWARK, NJ
NPI1750919957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NJ  25MD00373000)
Enumeration Date2020-04-01
Last Update Date2023-11-02
Business Address
ANDREW JAMES BLOOM
150 BERGEN ST # G-142
NEWARK, NJ 07103-2496
Phone number: 973-972-5088
Mailing Address
ANDREW JAMES BLOOM
13 W MAPLE RD
GREENLAWN, NY 11740-1024
Phone number:
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