NPI 1396734182 · live from the CMS NPI Registry
Jessica Bloom-Foster, MD
Family Medicine in Bangor, ME. National Provider Identifier 1396734182, active.
NPI record
| NPI | 1396734182 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 895 Union St, Suite 12, Bangor, ME 04401 |
| Practice phone | 207-973-7979 |
| Mailing address | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412 |
| Enumerated | October 14, 2005 |
| Last updated | January 10, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 018155 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.