Active NPIIndividual provider

Jessica Bloom-Foster, MD

Family Medicine in Bangor, Maine

NPI Number1396734182
Practice location
895 Union St, Suite 12, Bangor, ME 04401-3053
Fax
207-947-9579
Last updated
January 10, 2010

Jessica Bloom-Foster is a Family Medicine based in Bangor, ME. Jessica Bloom-Foster practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Jessica Bloom-Foster is 1396734182 and holds a License No. 018155 (ME). The current practice location address for Jessica Bloom-Foster is 895 Union St, Suite 12, Bangor, ME 04401-3053 and can be reached out via phone at 207-973-7979 and via fax at 207-947-9579.

Provider Profile Details

NPI Number
1396734182
Provider Name
Jessica Bloom-Foster
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
895 Union St, Suite 12, Bangor, ME 04401-3053
Phone Number
207-973-7979
Fax Number
207-947-9579
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2005
Last Update Date
January 10, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
895 Union St
Suite 12
Bangor, ME 04401-3053
City
Bangor
State
Maine
Zip
04401-3053
Phone Number
207-973-7979
Fax Number
207-947-9579
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD
Suite 300
Brewer, ME 04412-1005
City
Brewer
State
ME
Zip
04412-1005
Phone Number
207-973-5035
Fax Number
207-973-5042

License Information

License Number
018155
License State
ME
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Bloom-Foster, MD?

The NPI number of Jessica Bloom-Foster, MD is 1396734182. It was assigned on October 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Jessica Bloom-Foster, MD?

Jessica Bloom-Foster, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number 018155.

Where does Jessica Bloom-Foster, MD practice?

The practice location is 895 Union St, Suite 12, Bangor, ME 04401-3053. The office can be reached at 207-973-7979 (phone) or 207-947-9579 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396734182 directly on the NPPES registry website.

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