Randall Bock Md Pc

LBN: Randall Bock Md Pc
Randall Bock Md Pc is an health care organization with primary practice located at 1660 Soldiers Field Rd # 1021 , Brighton MA 02135-1108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Randall Bock Md Pc can be contacted via phone (617) 901-4847, or through Bock, Randall S via phone (617) 982-2865.

Contact Information

Primary practice address
1660 Soldiers Field Rd # 1021 Brighton MA 02135-1108
Fax: (781) 286-3076
Website:
Authorized official contact:
Name: Bock, Randall S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 51810 Massachusetts

Profile Details

NPI number 1285893347
LBN Legal business name Randall Bock Md Pc
DBA Doing business as
Authorized official Bock, Randall S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Jan 26th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285893347 NPPES
Massachusetts Other J04222 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 6199682 BLUE CROSS BLUE SHIELD

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