Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ILENE S BLOOM, PAC
ActiveMS. ILENE S BLOOM, PAC is a Medical Physician Assistant healthcare provider located in ANNAPOLIS, Maryland. NPI 1790851996 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ANNAPOLIS, MD
Registration Details
- NPI Number
- 1790851996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2006 (19.521527936272 yrs)
- Last Updated
- Aug 13, 2014
- License
-
C01316 (MD)
Practice Information
- Address
-
116 DEFENSE HWYSUITE 400ANNAPOLIS, MD, 214017027Browse MD providers · Browse ZIP 21401
- Phone
- 4108979841
- Fax
- 4108979852
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT L CROWDER | PA | 1932108768 |
| MS. CAROL A. JEROSIMICH | PA-C | 1811996291 |
| KAREN ROBERTA HARTKE | PA | 1891785911 |
| ALBERT E. COOMBS | PHYSICIAN ASSISTANT | 1003886375 |
| FRANKLIN R HEPFER | P.A. | 1720053069 |
| WENDY J RIEKERS | PA-C | 1649211343 |
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.