Bloom, Jonathan
Bloom, Jonathan is an individual health care provider with primary practice located at 400 White Spruce Blvd Ste B , Rochester NY 14623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bloom, Jonathan can be contacted via phone (585) 275-2838.Contact Information
Primary practice address
400 White Spruce Blvd Ste B
Rochester NY 14623
Phone: (585) 275-2838
Fax: (585) 424-1338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 298018 | New York |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D0083134 | Maryland |
Profile Details
| NPI number | 1972904423 |
|---|---|
| LBN Legal business name | Bloom, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2014 |
| Last updated | Jun 30th, 2023 - about 3 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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