Provider Demographics
NPI:1851368633
Name:BLOCK, CAROLINE C (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:C
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-3800
Mailing Address - Fax:617-632-1930
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:VERNON CANCER CENTER
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-658-6000
Practice Address - Fax:617-658-6001
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA58104207RH0000X, 207RX0202X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3072240Medicaid
MA3072240Medicaid
MAJ09292Medicare PIN