Gordon R Bloomberg in Saint Louis - Pediatric Allergy/immunology

Gordon R Bloomberg - NPI 1619993920

Gordon R Bloomberg is a Pediatric Allergy/immunology in Saint Louis, Missouri. Gordon R Bloomberg practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Gordon R Bloomberg is 1619993920. The last update date is 2015-11-04.

Gordon R Bloomberg's current location address is 1 Childrens Pl, Saint Louis, Missouri. You can contact this provider via phone number 3144542694 and fax number 3144542515. The mailing address for Gordon R Bloomberg is 1 Childrens Pl, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon R Bloomberg
Address 1 Childrens Pl, Saint Louis, Missouri
Phone Number 3144542694
Fax Number 3144542515
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619993920
Provider Enumeration Date 2006-07-14
Last Updated Date 2015-11-04

Provider Mailing Address Detail

Address 1 Childrens Pl
City Saint Louis
State Missouri (MO)
Post Code 631101002
Phone Number 3144542694
Fax Number 3144542515

Provider's Primary Taxonomy Detail

Speciality Pediatric Allergy/immunology
Taxonomy 2080P0201X
Licence No R2406
Definition:
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1737758 MS --
103810076 MO --

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FAQs about Gordon R Bloomberg

What is the unique identifier code issued to Gordon R Bloomberg by the Centers for Medicare & Medicaid Services (CMS)?

The Gordon R Bloomberg has been assigned the NPI (National Provider Identifier) 1619993920. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Gordon R Bloomberg is geographically located?

The Gordon R Bloomberg is physically situated at the following location: 1 Childrens Pl, Saint Louis, MO, 631101002.

What is Gordon R Bloomberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gordon R Bloomberg is Pediatric Allergy/immunology, and the corresponding taxonomy classification code for this specialized field is 2080P0201X.

On what date did the Centers for Medicare & Medicaid Services assign the 1619993920 to Gordon R Bloomberg?

The Centers for Medicare & Medicaid Services assigned the 1619993920 to Gordon R Bloomberg on 2006-07-14.

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

The information related to Gordon R Bloomberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-04.

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