Bloom Geriatrics LLC

NPI #1013499623 in Chester, Virginia

Provider Information

NPI Number: 1013499623
Entity Type: Organization
Organization Name: Bloom Geriatrics LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 30, 2018
Last Updated: Sep 6, 2019

Practice Location

Address: 1714 E HUNDRED RD STE 101
City: Chester
State: Virginia
ZIP Code: 23836-3310
Phone: (804) 590-6750

Authorized Official

Name: MOHAMMAD FAROOQ, MD
Title: PRESIDENT
Phone: (804) 590-6750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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