Individual
DR. SUSAN D BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44 BINNEY ST, SW411, BOSTON, MA 02115-6013
(617) 632-6181
(617) 632-6180
Mailing address
44 BINNEY ST, SW411, BOSTON, MA 02115-6013
(617) 632-6181
(617) 632-6180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163996
—
MA
01
—
154534
HPHC DFCI ONLY
—
01
—
2488260
CIGNA
—
01
—
260038156
RR MEDICARE BINNEY MED
—
01
—
260038158
RR MEDICARE DFCI
—
01
—
65517
FALLON COMM HEALTH PLAN
—
01
—
702287
TUFTS
—
01
—
V05389
BLUE CROSS BLUE SHIELD
MA
01
—
V05389
BC ELECT
—
Enumeration date
03/03/2006
Last updated
08/14/2007
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