Organization
BLOCK & GRATWICK, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY R BLOCK MD (PRESIDENT)
(207) 945-9442
Entity
Organization
Contact information
Practice address
275 UNION ST, BANGOR, ME 04401-4606
(207) 945-9442
(207) 942-9515
Mailing address
275 UNION ST, BANGOR, ME 04401-4606
(207) 945-9442
(207) 942-9515
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108050000
—
ME
Enumeration date
08/03/2005
Last updated
07/21/2022
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