George Bloom
George Bloom is a Student in an Organized Health Care Education/Training Program in Stratford, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
185 Old Coach LnStratford, CT 06614-1627
Phone: (203) 449-1686
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1407796568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2026 |
| Last updated in NPPES | March 30, 2026 |
| Certification date | March 30, 2026 |
| Mailing address | 185 Old Coach Ln, Stratford, CT 06614-1627 |
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