Dr. Doreen Blake, M.D.
Internal Medicine in Largo, MD. Individual provider (NPI-1).
NPI number1043209331
StatusActive
Last updated in NPPESJun 4, 2014
Details
- NPI
- 1043209331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Doreen Blake
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2005
- Last updated
- Jun 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D39421 | MD | Yes |
Practice location
1450 Mercantile LnSuite 111
Largo, MD 20774-5376
Phone 301-925-7610
Mailing address
P.O. Box 12622Belfast, ME 04915-4017
Phone 443-481-6580 · Fax 443-481-6515
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