person
Brian P Bloom, MD
Diagnostic Radiology Physician in Harrisburg, Pennsylvania
NPI 1093708570

Brian P Bloom is a Diagnostic Radiology Physician based in Harrisburg, PA and is specialized in Diagnostic Radiology. Brian P Bloom practices in Harrisburg, PA and has the professional credentials of MD. The NPI Number for Brian P Bloom is 1093708570 and holds a License No. MD06226L (Pennsylvania).

The current practice location address for Brian P Bloom is 4520 Union Deposit Rd, Harrisburg, PA and can be reached out via phone at 717-652-6105 and via fax at 717-652-8152.

Location: 4520 Union Deposit Rd, Harrisburg, PA, 17111-2910
person
Provider Profile Details
NPI Number
1093708570
Provider Name
Brian P Bloom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4520 Union Deposit Rd, Harrisburg, PA, 17111-2910
Phone Number
717-652-6105
Fax Number
717-652-8152
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300084078 01 PA RAILROAD MEDICARE
0016867280014 05 PA
0016867280011 05 PA
0016867280001 05 PA
0016867280002 05 PA
0016867280015 05 PA
institution
Provider Business Practice Location Address Details
Address
4520 Union Deposit Rd
City
State
Zip
17111-2910
Phone Number
717-652-6105
Fax Number
717-652-8152
person
Provider Business Mailing Address Details
Address
4520 Union Deposit Rd
City
State
Zip
17111-2910
Phone Number
717-652-6105
Fax Number
717-652-8152
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD06226L (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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