Provider Demographics
NPI:1043362304
Name:BLOOMBERG, JUDY FERER (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:FERER
Last Name:BLOOMBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OAKWOOD PARK
Mailing Address - Street 2:STE 101
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104
Mailing Address - Country:US
Mailing Address - Phone:303-688-2320
Mailing Address - Fax:303-688-1371
Practice Address - Street 1:1 OAKWOOD PARK
Practice Address - Street 2:STE 101
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104
Practice Address - Country:US
Practice Address - Phone:303-688-2320
Practice Address - Fax:303-688-1371
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30898208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics