DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE R BLAKE, M.D.

Active

DR. DIANE R BLAKE, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in WORCESTER, Massachusetts. NPI 1316921182 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · WORCESTER, MA

Registration Details

NPI Number
1316921182
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2005 (20.708348592104 yrs)
Last Updated
Nov 10, 2020
License
154470 (MA)

Practice Information

Address
55 LAKE AVE N
DEPARTMENT OF ADOLESCENT MEDICINE
WORCESTER, MA, 016550002
Browse MA providers · Browse ZIP 01655
Phone
5088565624
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in WORCESTER, MA

Name Credential NPI
DR. MARIANNE E FELICE M.D. 1821088139
DR. ANN L SATTLER M.D. 1659355782
PAULINE Q SHEEHAN MD 1437247806
JOYEE NOBIS 1770665952
EMMA HUGHES 1679655831
MARIE A. KIERAS-SKIBA M.D. 1922393891
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.