Individual
DR. RANDALL ADAM BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-2990
Mailing address
60 BRAINERD RD UNIT 403, BOSTON, MA 02134-4582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
289646
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2021
Last updated
08/12/2022
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