Charles Henry Bloom in New Brunswick - Prosthodontics

Charles Henry Bloom - NPI 1174731954

Charles Henry Bloom is a Prosthodontics in New Brunswick, New Jersey. Charles Henry Bloom practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Charles Henry Bloom is 1174731954. The last update date is 2007-07-08.

Charles Henry Bloom's current location address is 815 Livingston Ave, New Brunswick, New Jersey. You can contact this provider via phone number 7322496386 and fax number 7322496283. The mailing address for Charles Henry Bloom is 815 Livingston Ave, New Brunswick, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Henry Bloom
Address 815 Livingston Ave, New Brunswick, New Jersey
Phone Number 7322496386
Fax Number 7322496283
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1174731954
Provider Enumeration Date 2007-05-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 815 Livingston Ave
City New Brunswick
State New Jersey (NJ)
Post Code 89013344
Phone Number 7322496386
Fax Number 7322496283

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 22DI01554800
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Charles Henry Bloom

What is the Charles Henry Bloom's 1174731954?

The Charles Henry Bloom's NPI (National Provider Identifier) Number is 1174731954. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Charles Henry Bloom?

The Charles Henry Bloom is situated at 815 Livingston Ave, in the city of New Brunswick, state of NJ, with the zip code 89013344.

What is Charles Henry Bloom's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Henry Bloom's area of specialization is Prosthodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0700X.

On what date did Charles Henry Bloom receive its 1174731954 assignment from the Centers for Medicare & Medicaid Services?

The Charles Henry Bloom was assigned its 1174731954 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Henry Bloom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Henry Bloom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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