Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MA070270 | NJ |
NPI | 1003854811 |
---|---|
Provider Name | Dr. Adam Bloomfield |
First Address | Woodcliff Lake, NJ 07677-7663 |
Second Address | Woodcliff Lake, NJ 07677-7663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/07/2007 |