Provider Demographics
NPI:1609857739
Name:BLOCH, DONALD B (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:B
Last Name:BLOCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-7938
Mailing Address - Fax:617-643-1274
Practice Address - Street 1:55 FRUIT STREET, YAWKEY 2100
Practice Address - Street 2:RHEUMATOLOGY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-7938
Practice Address - Fax:617-643-1274
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2014-02-11
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Provider Licenses
StateLicense IDTaxonomies
MA55204207R00000X
MA552004207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3113108Medicaid
MAJ13218OtherBCBS MA
MA725624OtherTUFTS HEALTH PLAN
MA3113108Medicaid
MAJ13218OtherBCBS MA