Bloom, Eric J

Bloom, Eric J is an individual health care provider with primary practice located at 5501 Old York Road, Moss 4Th Floor, Sley Building Einstein Nephrology Associates, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bloom, Eric J can be contacted via phone (215) 456-6970.

Contact Information

Primary practice address
5501 Old York Road, Moss 4Th Floor, Sley Building Einstein Nephrology Associates Philadelphia PA 19141
Phone: (215) 456-6970
Fax: (215) 456-7154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD035775E Pennsylvania

Profile Details

NPI number 1902874670
LBN Legal business name Bloom, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902874670 NPPES
Rhode Island MEDICAID 001177795

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