Active NPIIndividual providerSole proprietor

George Bloom

Student in an Organized Health Care Education/Training Program in Stratford, Connecticut

NPI Number1407796568
Practice location
185 Old Coach Ln, Stratford, CT 06614-1627
Fax
—
Last updated
March 30, 2026

George Bloom is a Student in an Organized Health Care Education/Training Program based in Stratford, CT. George Bloom practices in Stratford, CT. The NPI Number for George Bloom is 1407796568. The current practice location address for George Bloom is 185 Old Coach Ln, Stratford, CT 06614-1627 and can be reached out via phone at 203-449-1686.

Provider Profile Details

NPI Number
1407796568
Provider Name
George Bloom
Provider Entity Type
Individual
Gender
Male
Address
185 Old Coach Ln, Stratford, CT 06614-1627
Phone Number
203-449-1686
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2026
Last Update Date
March 30, 2026
Certification Date
March 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Old Coach Ln
Stratford, CT 06614-1627
Zip
06614-1627
Phone Number
203-449-1686
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
185 Old Coach Ln
Stratford, CT 06614-1627
City
Stratford
State
CT
Zip
06614-1627
Phone Number
203-449-1686

License Information

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 George Bloom?

The NPI number of George Bloom is 1407796568. It was assigned on March 30, 2026 and is currently active in the NPPES registry.

What is the specialty of George Bloom?

George Bloom is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does George Bloom practice?

The practice location is 185 Old Coach Ln, Stratford, CT 06614-1627. The office can be reached at 203-449-1686 (phone).

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 1407796568 directly on the NPPES registry website.

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