| Charles H Bloom, Dmd | |
|
815 Livingston Ave New Brunswick NJ 08901-3344 | |
| (732) 249-6386 | |
| Not Available |
| Full Name | Charles H Bloom, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 815 Livingston Ave, New Brunswick, New Jersey |
| Authorized Official Name and Position | Charles H Bloom (DENTIST OWNER) |
| Authorized Official Contact | 9087205621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H Bloom, Dmd 815 Livingston Ave New Brunswick NJ 08901-3344 Ph: (732) 249-6386 | Charles H Bloom, Dmd 815 Livingston Ave New Brunswick NJ 08901-3344 Ph: (732) 249-6386 |
| NPI Number | 1265007629 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265007629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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