Bloom, Leonard Stuart
Bloom, Leonard Stuart is an individual health care provider with primary practice located at 9420 Key West Ave. Suite 420, Rockville MD 20850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bloom, Leonard Stuart can be contacted via phone (301) 258-1919.Contact Information
Primary practice address
9420 Key West Ave. Suite 420
Rockville MD 20850
Phone: (301) 258-1919
Fax: (301) 258-9180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D0039918 | Maryland |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D39918 | Maryland |
Profile Details
| NPI number | 1114030301 |
|---|---|
| LBN Legal business name | Bloom, Leonard Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Sep 6th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114030301 | NPPES |
| Maryland | MEDICAID | 063461100 |
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