Stanley Bloom, MD

NPI #1003041377 in Old Forge, New York

Provider Information

NPI Number: 1003041377
Entity Type: Individual
Name: Stanley Bloom, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: May 15, 2009
Last Updated: May 15, 2009

Practice Location

Address: 138 GOODELL RD
City: Old Forge
State: New York
ZIP Code: 13420
Phone: (315) 369-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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