Ted Bloch MD

NPI 1083690960 - Pathology - 207ZP0102X

NPI Details
NPI 1083690960
Gender Male
Enumeration Date 12/21/2005
Last Updated 05/01/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2560 N. SHADELAND AVENUE
SUITE A
INDIANAPOLIS IN, 46219-1706, US
Phone (317) 275-8072
Fax (317) 275-8124
Business Location
14275 MIDWAY RD
SUITE 400
ADDISON TX, 75001-3614, US
Phone (214) 932-8029
Fax (610) 271-4245
Toxanomy
Taxonomy Code 207ZP0102X
License State Indiana
License Number 01031608A
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According to our database, Dr. Ted Bloch MD NPI is 1083690960, taxonomy code is 207ZP0102X and license number is 01031608A, license state is located at Indiana. Ted Bloch MD physically located at 2560 N. Shadeland Avenue, Indianapolis IN, 46219-1706. NPI Number Ted Bloch MD has the Individual type.

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1083690960 NPI number is provided on an as is basis without warranty of any kind. 1083690960 is maintained by the National Plan & Provider Enumeration System. The contents of Ted Bloch MD are for informational purposes only.