Bloom Healthcare Limited

Organization Active NPI Obesity Medicine (Family Medicine) Physician · Ardmore, PA

NPI 1821790775 · NPPES record last updated Mar 21, 2023

Key facts

NPI
1821790775
Entity type
Organization (NPI type 2)
Primary specialty
Obesity Medicine (Family Medicine) Physician 207QB0002X
Legal business name
BLOOM HEALTHCARE LIMITED
Practice address
116 E Montgomery Ave Unit 111
Ardmore, PA 19003-2434
Phone
(610) 574-2322
NPI assigned
Mar 21, 2023
Organization subpart
No

Authorized official

Name
Dr. Anthony Ricco, MD
Title
Physician
Phone
(610) 574-2322

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207QB0002X Yes

Addresses

Primary practice location

116 E Montgomery Ave Unit 111
Ardmore, PA 19003-2434

Mailing address

116 E Montgomery Ave Unit 111
Ardmore, PA 19003-2434
Phone (610) 574-2322

Other providers in Ardmore, PA

All providers in Ardmore, PA · Obesity Medicine (Family Medicine) Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.