Dr HANNELORE A BLOOM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2007.
LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC
5415 OLD COURT RD
S04
RANDALLSTOWN
MD
211335170
Tel: 4107014437
| Npi | 1720241623 |
| Pac Id | 7719041250 |
| Professional Enrollment Id | I20090129000105 |
| Last Name | BLOOM |
| First Name | HANNELORE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC |
| Group Practice Pac Id | 4082928098 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 5415 OLD COURT RD |
| Line 2 Street Address | S04 |
| Marker Of Address Line 2 Suppression | |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 211335170 |
| Phone Number | 4107014437 |
| Hospital Affiliation Ccn 1 | 210012 |
| Hospital Affiliation Lbn 1 | SINAI HOSPITAL OF BALTIMORE |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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