Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD05146 | RI |
N | 207KA0200X | Allergist | MD05146 | RI |
N | 208000000X | Pediatrician | MD05146 | RI |
NPI | 1013900638 |
---|---|
Provider Name | Dr. Stanley H. Block |
First Address | Providence, RI 02905-5010 |
Second Address | Providence, RI 02905-1928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7001184 | (05) | RI |