Individual
DR. PAUL H BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Mailing address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
015531
ME
2086S0129X
Vascular Surgery Physician
015531
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321420099
—
ME
01
—
770002566
RR MEDICARE
ME
Enumeration date
10/10/2005
Last updated
10/14/2013
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