Active NPIIndividual provider

Lee Bloom, MD

Orthopaedic Surgery in Middletown, Connecticut

NPI Number1801282470
Practice location
410 Saybrook RD Ste 100, Middletown, CT 06457-4780
Fax
—
Last updated
June 21, 2021

Lee Bloom is an Orthopaedic Surgery based in Middletown, CT. Lee Bloom practices in Middletown, CT and has the professional credentials of MD. The NPI Number for Lee Bloom is 1801282470 and holds a License No. 68053 (CT). The current practice location address for Lee Bloom is 410 Saybrook RD Ste 100, Middletown, CT 06457-4780 and can be reached out via phone at 860-685-8940.

Provider Profile Details

NPI Number
1801282470
Provider Name
Lee Bloom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
410 Saybrook RD Ste 100, Middletown, CT 06457-4780
Phone Number
860-685-8940
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2015
Last Update Date
June 21, 2021
Certification Date
June 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Saybrook RD Ste 100
Middletown, CT 06457-4780
Zip
06457-4780
Phone Number
860-685-8940
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
410 Saybrook RD Ste 100
Middletown, CT 06457-4780
City
Middletown
State
CT
Zip
06457-4780
Phone Number
860-685-8940

License Information

License Number (1)
68053
License State (1)
CT
Taxonomy (1)
Orthopaedic Surgery, Sports Medicine · 207XX0005X
License Number (2)
68053
License State (2)
CT
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · 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 Lee Bloom, MD?

The NPI number of Lee Bloom, MD is 1801282470. It was assigned on April 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Lee Bloom, MD?

Lee Bloom, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in CT under license number 68053.

Where does Lee Bloom, MD practice?

The practice location is 410 Saybrook RD Ste 100, Middletown, CT 06457-4780. The office can be reached at 860-685-8940 (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 1801282470 directly on the NPPES registry website.

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