Doreen Blake M.D.

NPI 1043209331 - Internal Medicine - 207R00000X

NPI Details
NPI 1043209331
Gender Female
Enumeration Date 10/19/2005
Last Updated 06/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1450 MERCANTILE LN
SUITE 111
LARGO MD, 20774-5376, US
Phone (301) 925-7610
Fax
Business Location
P.O. BOX 12622
BELFAST ME, 04915-4017, US
Phone (443) 481-6580
Fax (443) 481-6515
Toxanomy
Taxonomy Code 207R00000X
License State Maryland
License Number D39421
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According to our database, Dr. Doreen Blake M.D. NPI is 1043209331, taxonomy code is 207R00000X and license number is D39421, license state is located at Maryland. Doreen Blake M.D. physically located at 1450 Mercantile Ln, Largo MD, 20774-5376. NPI Number Doreen Blake M.D. has the Individual type.

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1043209331 NPI number is provided on an as is basis without warranty of any kind. 1043209331 is maintained by the National Plan & Provider Enumeration System. The contents of Doreen Blake M.D. are for informational purposes only.