Individual
GEORGE THOMAS BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 378-6131
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G44567
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G445670
—
CA
Enumeration date
07/13/2006
Last updated
08/31/2007
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