| Randall Bock Md Pc | |
|
1660 Soldiers Field Rd # 1021 Brighton MA 02135-1108 | |
| (617) 901-4847 | |
| (781) 286-3076 |
| Full Name | Randall Bock Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 1660 Soldiers Field Rd # 1021, Brighton, Massachusetts |
| Authorized Official Name and Position | Randall S Bock (DIRECTOR) |
| Authorized Official Contact | 6179822865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Bock Md Pc 1660 Soldiers Field Rd # 1021 Brighton MA 02135-1108 Ph: (617) 982-2865 | Randall Bock Md Pc 1660 Soldiers Field Rd # 1021 Brighton MA 02135-1108 Ph: (617) 901-4847 |
| NPI Number | 1285893347 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285893347 | NPI | - | NPPES |
| J04222 | Other | MA | BLUE CROSS BLUE SHIELD |
| 6199682 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 51810 (Massachusetts) | Primary |
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