person
Ms. Ilene S Bloom, PAC
Medical Physician Assistant in Annapolis, Maryland
NPI 1790851996

Ilene S Bloom is a Medical Physician Assistant based in Annapolis, MD and is specialized in Medical. Ilene S Bloom practices in Annapolis, MD and has the professional credentials of PAC. The NPI Number for Ilene S Bloom is 1790851996 and holds a License No. C01316 (Maryland).

The current practice location address for Ilene S Bloom is 116 Defense Hwy, Annapolis, MD and can be reached out via phone at 410-897-9841 and via fax at 410-897-9852. You can also correspond with Ilene S Bloom through the mailing address at 116 DEFENSE HWY, ANNAPOLIS, MD - 21401-7027 (mailing address contact number: 410-897-9841).

Location: 116 Defense Hwy, Annapolis, MD, 21401-7027
person
Provider Profile Details
NPI Number
1790851996
Provider Name
Ilene S Bloom
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
116 Defense Hwy, Annapolis, MD, 21401-7027
Phone Number
410-897-9841
Fax Number
410-897-9852
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C001316 01 MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
116 Defense Hwy
City
State
Zip
21401-7027
Phone Number
410-897-9841
Fax Number
410-897-9852
person
Provider Business Mailing Address Details
Address
116 Defense Hwy
City
State
Zip
21401-7027
Phone Number
410-897-9841
Fax Number
410-897-9852
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C01316 (Maryland)
Definition
Definition to come...
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