DR. DIANE BLAKE, M.D.
Pediatrics - Adolescent Medicine
Active
Individual
NPI: 1316921182
Practice Address
55 LAKE AVE NDEPARTMENT OF ADOLESCENT MEDICINE
Worcester, MA 01655
Phone: (508) 856-5624
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics - Adolescent Medicine | 2080A0000X | Yes | 154470 (MA) |
Frequently Asked Questions
NPI 1316921182 is the National Provider Identifier for DR. DIANE BLAKE, M.D., a Pediatrics - Adolescent Medicine provider located in Worcester, MA. This NPI was enumerated on December 5, 2005.
DR. DIANE BLAKE, M.D. practices at 55 LAKE AVE N, DEPARTMENT OF ADOLESCENT MEDICINE, Worcester, MA 01655.
Quick Facts
- NPI
- 1316921182
- Type
- Individual
- Enumerated
- Dec 5, 2005
- Last Updated
- Nov 10, 2020
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