Provider Demographics
NPI:1891958138
Name:BLOCHLE, RAPHAEL (MD)
Entity Type:Individual
Prefix:
First Name:RAPHAEL
Middle Name:
Last Name:BLOCHLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:462 GRIDER ST
Mailing Address - Street 2:DEPT. OF SURGERY
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3021
Mailing Address - Country:US
Mailing Address - Phone:716-898-5186
Mailing Address - Fax:716-898-3194
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:UNIVERSITY AT BUFFALO SURGEONS, INC.
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-5186
Practice Address - Fax:716-898-3194
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2014-03-26
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Provider Licenses
StateLicense IDTaxonomies
NY003534-12086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery