NPI 1003041377

Stanley Bloom, MD

Practitioner Urology Physician Old Forge, NY

Practice location

Address: 138 Goodell Rd, Old Forge, NY 13420
Phone: (315) 369-2003
Mailing address: 10760 North Green Dr, Lake Worth, FL 33449

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 099606-1 (NY)

Other Urology providers in New York →

Registry record

NPI: 1003041377
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2009
Record last updated: 15 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.