Peter Jonathan Blake, PA

Physician Assistant · Barre, MA

Individual Active NPI

NPI number 1760029862

Practice location

151 Worcester Rd
Barre, MA 01005-9002
Phone
(783) 556-3219
Fax
(978) 355-6549

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NPI record

NPI
1760029862
Entity type
Individual (Type 1)
Enumeration date
December 8, 2019
Last updated
May 2, 2023
Certified
May 2, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA8403 MA
Medical Physician Assistant 363AM0700X PA8403 MA

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone
(800) 225-8885
Fax
(508) 334-1977

About Peter Blake

Peter Jonathan Blake, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 151 Worcester Rd, Barre, MA 01005-9002. The NPI number 1760029862 was assigned on December 8, 2019 and the record was last updated on May 2, 2023.

Peter Blake lists 2 licenses in the registry: #PA8403 (MA) for Physician Assistant; #PA8403 (MA) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Jonathan Blake, PA?

The NPI number is 1760029862.

What is the phone number of Peter Blake?

The phone number listed for the practice location is (783) 556-3219.

Where is Peter Blake located?

151 Worcester Rd, Barre, MA 01005-9002.

What is the taxonomy code for Peter Blake?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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