Provider Demographics
NPI:1518299650
Name:BLOCH, ALFRED M (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:M
Last Name:BLOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2698 MATARO ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3416
Mailing Address - Country:US
Mailing Address - Phone:626-773-3300
Mailing Address - Fax:310-388-1650
Practice Address - Street 1:2698 MATARO ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3416
Practice Address - Country:US
Practice Address - Phone:626-773-3300
Practice Address - Fax:310-388-1650
Is Sole Proprietor?:No
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG69832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry