Provider Demographics
NPI:1073501581
Name:BLOCK, CHARLES ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ALAN
Last Name:BLOCK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:405 CAREDEAN DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1301
Mailing Address - Country:US
Mailing Address - Phone:215-441-9710
Mailing Address - Fax:215-441-9288
Practice Address - Street 1:405 CAREDEAN DR
Practice Address - Street 2:SUITE J
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1301
Practice Address - Country:US
Practice Address - Phone:215-441-9710
Practice Address - Fax:215-441-9288
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD043186E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics