Physician Assistant, Medical
Ms. ILENE BLOOM PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790851996 · enumerated 2006-11-28 · record updated 2014-08-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD, 21401-7027 (410) 897-9841 Fax (410) 897-9852 Google Maps Apple Maps OpenStreetMap
- Practice location 116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD, 21401-7027 (410) 897-9841 Fax (410) 897-9852 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License C01316 MD
In this directory
MD Anne Arundel County Annapolis Physician Assistant, Medical
Locations and evidence
-
Practice location
ANNAPOLIS, MD, 214017027
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.