Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON DAVID BLOOM, MD
ActiveDR. JASON DAVID BLOOM, MD is a Facial Plastic Surgery healthcare provider located in BRYN MAWR, Pennsylvania. NPI 1184780108 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · BRYN MAWR, PA
Registration Details
- NPI Number
- 1184780108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.637126122603 yrs)
- Last Updated
- Dec 9, 2021
- Licenses
-
MT186824 (PA)256050 (NY)MD432401 (PA)
Practice Information
- Address
-
2 TOWN PL STE 110BRYN MAWR, PA, 190103420Browse PA providers · Browse ZIP 19010
- Phone
- 6107625666
- Fax
- 4843803550
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.