Individual
SIDNEY ROBERT BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 UNION ST, BANGOR, ME 04401-4606
(207) 945-9442
(207) 942-5915
Mailing address
275 UNION ST, BANGOR, ME 04401-4606
(207) 945-9442
(207) 942-5915
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
008060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312020099
—
ME
Enumeration date
07/27/2005
Last updated
05/16/2008
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