If it is truly a 59A block (check the bell housing, as the heads could be a later addition), it will have a two bolt distributor mount on the timing gear cover, and a crab will bolt on. If it is an earlier block with 59A/B heads you might need to change the timing gear cover, and/or use a slotted adapter/spacer between the cam slot and the distributor drive tab.
I have had no problems with Pertronix on my two flathead vehicles ('41 coupe and 34 pickup), but both are 12 volts, and I carry a spare module in both cars, because if they crap out there is no roadside fix, like there can be with points. I have no reason to doubt CharlieNY that the 6 volt units are less reliable, so if you go 6 volt Pertronix, carry two spares!