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.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C001316 | 01 | MD | STATE LICENSE |
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