DR. Marvin E Bloom, MD

NPI #1225028590 in Ft Myer, Virginia

Provider Information

NPI Number: 1225028590
Entity Type: Individual
Name: DR. Marvin E Bloom, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 450 CARPENTER RD
Address 2: RADER CLINIC
City: Ft Myer
State: Virginia
ZIP Code: 22211-1008
Phone: (703) 696-7935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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