Richard A Bloom, MD

NPI #1295790186 in Fairport, New York

Provider Information

NPI Number: 1295790186
Entity Type: Individual
Name: Richard A Bloom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 460 CROSSKEYS OFFICE PARK
City: Fairport
State: New York
ZIP Code: 14450
Phone: (585) 223-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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