Individual
BRUCE BLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 CENTRE AVE, PITTSBURGH, PA 15232
(412) 623-2654
(412) 623-3704
Mailing address
5215 CENTRE AVE, PITTSBURGH, PA 15232
(412) 623-2654
(412) 623-3704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD013928E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799950
—
PA
Enumeration date
02/08/2006
Last updated
07/08/2007
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