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NPI Code Detail

MEDICARE: STEVEN P. BLOOM M.D.

MEDICARE: STEVEN P. BLOOM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician41016MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1678813OTHERHEALTHSOURCE
20016274OTHERNEIGHBORHOOD HEALTH PLAN
3041016OTHERMATUFTS HEALTH PLAN
41013919125OTHERAETNA - HMO
54410659OTHERAETNA - NON-HMO
67566249OTHERCIGNA
7B52008OTHERMABLUE CROSS BLUE SHIELD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9980216OTHERNETWORK HEALTH
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11B52008OTHERMAHARVARD PILGRIM HEALTHCAR
12E03016OTHERNHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1013919125
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN P. BLOOM M.D.
Provider Business Mailing Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3230
Fax Number : 978-521-3256
Provider Business Practice Location Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3230
Fax Number : 978-521-3256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/26/2011

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