Dr. Jay Robert Bloom, dds
Dentist, Periodontics in Point Pleasant Boro, NJ. Individual provider (NPI-1).
NPI number1265645576
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265645576
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Robert Bloom
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 14553 | NJ | Yes |
Practice location
3156 Route 88Point Pleasant Boro, NJ 08742-2885
Phone 732-892-6666
Mailing address
3156 Route 88Point Pleasant Boro, NJ 08742-2885
Phone 732-892-6666
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