Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER JONATHAN BLAKE, PA
ActivePETER JONATHAN BLAKE, PA is a Physician Assistant healthcare provider located in BARRE, Massachusetts. NPI 1760029862 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BARRE, MA
Registration Details
- NPI Number
- 1760029862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2019 (6.5017983803128 yrs)
- Last Updated
- May 2, 2023
- Licenses
-
PA8403 (MA)PA8403 (MA)
Practice Information
- Address
-
151 WORCESTER RDBARRE, MA, 010059002Browse MA providers · Browse ZIP 01005
- Phone
- 7835563219
- Fax
- 9783556549
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BARRE, MA
| Name | Credential | NPI |
|---|---|---|
| KRISTIN K. WICKSTROM | PA | 1053461632 |
| JILLIAN K JOSEPH | PA-C | 1225376957 |
| MEGAN HUNT | PA-C | 1548878440 |
| GABRIEL PAUL KONDROTAS | PA-C, ATC | 1821664426 |
| EFROSINI KONOMI | PA-C | 1033088976 |
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.