Charlotte Elizabeth Bloom, DO
Student in an Organized Health Care Education/Training Program in Lebanon, NH. Individual provider (NPI-1).
NPI number1316640683
StatusActive
Last updated in NPPESMar 26, 2023
Details
- NPI
- 1316640683
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Elizabeth Bloom
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 26, 2023
- Last updated
- Mar 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Medical Center DrLebanon, NH 03756-0001
Phone 603-650-5000
Mailing address
1 Medical DrLebanon, NH 03756-0001
Phone 603-650-5000
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