Individual
MS. TAMARA EBIN BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 FRANCIS ST, LMOB SUITE 1B, BOSTON, MA 02215-5501
(617) 632-8696
Mailing address
109 DAVIS AVE, #2, BROOKLINE, MA 02445-7646
(617) 232-0898
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
213308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391590
—
MA
Enumeration date
09/03/2006
Last updated
07/08/2007
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