Dr. Randall Adam Bloch, MD
Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1497329296
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1497329296
- Entity type
- Individual (NPI-1)
- Name
- Dr. Randall Adam Bloch
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 289646 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
736 Cambridge StBoston, MA 02135-2907
Phone 617-789-2990
Mailing address
60 Brainerd Rd Unit 403Boston, MA 02134-4582
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