Peter Jonathan Blake, PA
NPI #1760029862 in Barre, Massachusetts
Provider Information
- NPI Number
- 1760029862
- Entity Type
- Individual
- Name
- Peter Jonathan Blake, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 8, 2019
- Last Updated
- May 2, 2023
Practice Location
- Address
- 151 WORCESTER RD
- City
- Barre
- State
- Massachusetts
- ZIP Code
- 01005-9002
- Phone
- (783) 556-3219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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