Dr. Charles Henry Bloom
Prosthodontist
815 Livingston Ave
New Brunswick
, New Jersey 08901-3344
Dr. Charles Henry Bloom
Prosthodontist
815 Livingston Ave
New Brunswick
, New Jersey 08901-3344
(732) 249-6283
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Charles Henry Bloom
- 815 Livingston Ave
- New Brunswick, NJ
- Zip : 08901-3344
- Fax : (732) 249-6283
- Phone : (732) 249-6386
Second Address
- Dr. Charles Henry Bloom
- 815 Livingston Ave
- New Brunswick, NJ
- Zip : 08901-3344
- Fax : (732) 249-6283
- Phone : (732) 249-6386
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 22DI01554800 | NJ |
National Provider Identifier
| NPI | 1174731954 |
|---|---|
| Provider Name | Dr. Charles Henry Bloom |
| First Address | New Brunswick, NJ 08901-3344 |
| Second Address | New Brunswick, NJ 08901-3344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.