Bloom, Ronald Jeffrey

Bloom, Ronald Jeffrey is an individual health care provider with primary practice located at 711 Cottage Grove Rd Cottage Grove Cardiology, Bloomfield CT 06002-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bloom, Ronald Jeffrey can be contacted via phone (860) 242-8756.

Contact Information

Primary practice address
711 Cottage Grove Rd Cottage Grove Cardiology Bloomfield CT 06002-3060
Phone: (860) 242-8756
Fax: (860) 242-3052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 025827 Connecticut

Profile Details

NPI number 1548238835
LBN Legal business name Bloom, Ronald Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 16th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548238835 NPPES
Connecticut MEDICAID 001258276
Connecticut Other 060005792
Connecticut Other 060000233

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