Individual
DR. JEROME IRA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15344 KARL AVE, MONTE SERENO, CA 95030-2230
(408) 395-5809
Mailing address
15344 KARL AVE, MONTE SERENO, CA 95030-2230
(408) 395-5809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G25106
CA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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