MEDICARE: DR. HERBERT STUART BLOCK BARAF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	D0021924	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004050926	OTHER		AETNA
2	0010	OTHER	DC	CAREFIRST OF DC
3	32592	OTHER	MD	PRIORITY PARTNERS
4	41058603	OTHER	MD	CAREFIRST OF MARYLAND
5	43004	OTHER		MAMSI
6	43004	OTHER		ALLIANCE
7	772912	OTHER		UNITED HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063411494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERBERT STUART BLOCK BARAF M.D.

Provider Business Mailing Address
First Line	:	2730 UNIVERSITY BLVD W
Second Line	:	SUITE 310
City	:	WHEATON
State	:	MD
Zip	:	20902-1905
Country	:	US
Telephone Number	:	301-942-7600
Fax Number	:	301-942-3132

Provider Business Practice Location Address
First Line	:	2730 UNIVERSITY BLVD W
Second Line	:	SUITE 310
City	:	WHEATON
State	:	MD
Zip	:	20902-1905
Country	:	US
Telephone Number	:	301-942-7600
Fax Number	:	301-942-3132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/20/2021

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