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Individual

BRIAN MICHAEL BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8322 BELLONA AVE, SUITE 330, BALTIMORE, MD 21204-2065
(410) 825-8970
Mailing address
8322 BELLONA AVE, SUITE 330, BALTIMORE, MD 21204-2065
(410) 825-8970

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D58724
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D58724
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D58724
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402087100
MD
Enumeration date
04/26/2006
Last updated
05/11/2010
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