Jeffrey D Blake, MD
Obstetrics & Gynecology in Gardner, Massachusetts
1992792980- Practice location
- 250 Green St, Gardner, MA 01440-1396
- Phone
- 978-630-5050
- Fax
- 978-630-5059
- Last updated
- June 20, 2011
Jeffrey D. Blake is an Obstetrics & Gynecology based in Gardner, MA. Jeffrey D. Blake practices in Gardner, MA and has the professional credentials of MD. The NPI Number for Jeffrey D. Blake is 1992792980 and holds a License No. 78308 (MA). The current practice location address for Jeffrey D. Blake is 250 Green St, Gardner, MA 01440-1396 and can be reached out via phone at 978-630-5050 and via fax at 978-630-5059.
Provider Profile Details
- NPI Number
- 1992792980
- Provider Name
- Jeffrey D. Blake
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 250 Green St, Gardner, MA 01440-1396
- Phone Number
- 978-630-5050
- Fax Number
- 978-630-5059
- Primary Taxonomy
- Obstetrics & Gynecology · 207V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2005
- Last Update Date
- June 20, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Green St
Gardner, MA 01440-1396 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440-1396
- Phone Number
- 978-630-5050
- Fax Number
- 978-630-5059
Provider Business Mailing Address Details
- Address
- 250 Green St
Gardner, MA 01440-1396 - City
- Gardner
- State
- MA
- Zip
- 01440-1396
- Phone Number
- 978-630-5050
- Fax Number
- 978-630-5059
License Information
- License Number
- 78308
- License State
- MA
- Taxonomy
- Obstetrics & Gynecology · 207V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeffrey D Blake, MD?
The NPI number of Jeffrey D Blake, MD is 1992792980. It was assigned on October 4, 2005 and is currently active in the NPPES registry.
What is the specialty of Jeffrey D Blake, MD?
Jeffrey D Blake, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 78308.
Where does Jeffrey D Blake, MD practice?
The practice location is 250 Green St, Gardner, MA 01440-1396. The office can be reached at 978-630-5050 (phone) or 978-630-5059 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992792980 directly on the NPPES registry website.