Most Relevant Information
Provider Data
| NPI Number: | 1003041377 |
| Provider Name: | STANLEY BLOOM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208800000X |
| Specialty: | Urology |
| License Number: | 099606-1 |
Most Important Dates
| Enumeration Date: | 05/15/2009 |
| Last Updated: | 05/15/2009 |
Provider Practice Location
138 GOODELL RD
OLD FORGE
NY
13420
Practice Location Phone/Fax
| Phone: | 3153692003 |
| Fax: |
Provider Mailing Location
10760 NORTH GREEN DR
LAKE WORTH
FL
33449
Provider Mailing Phone/Fax
| Phone: | 5614322020 |
| Fax: |
Suggested EMR
Urologist EMR