Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ilene S Bloom, PAC

Individual provider Medical Physician Assistant · NPI 1790851996

MS. Ilene S Bloom, PAC is a Medical Physician Assistant in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

116 Defense Hwy Ste 400
Annapolis, MD 21401-7027
Phone: (410) 897-9841
Fax: (410) 897-9852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C01316 (MD)

Record details

NPI number1790851996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 13, 2014

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