Provider Demographics
NPI:1477591774
Name:BLOCK, WILLIAM P (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:BLOCK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2 STONE HARBOR BOULEVARD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2138
Mailing Address - Country:US
Mailing Address - Phone:609-463-2339
Mailing Address - Fax:609-463-2946
Practice Address - Street 1:2 STONE HARBOR BOULEVARD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2138
Practice Address - Country:US
Practice Address - Phone:609-463-2339
Practice Address - Fax:609-463-2946
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2019-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07381600207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223586506OtherBCBSNJ
NJ0077810Medicaid
I29779Medicare UPIN
NJ0077810Medicaid