Basic Information
| Provider Information | |||||||||
| NPI: | 1154377349 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLOOMER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ARTHUR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 CARRIAGE DR | ||||||||
| Address2: | |||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038334706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037727621 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 HAMPTON RD | ||||||||
| Address2: | BUILDING 2, SUITE 201 | ||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038334831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034186310 | ||||||||
| FaxNumber: | 6034186311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 8583 | NH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.