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Peter Edward Blake, DO

Emergency Medicine in Parma, OH. Individual provider (NPI-1).

NPI number1992446249
StatusActive
Last updated in NPPESAug 6, 2025

Details

NPI
1992446249
Entity type
Individual (NPI-1)
Name
Peter Edward Blake
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 1, 2022
Certification date
Aug 6, 2025
Last updated
Aug 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine34.017736OHYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7007 Powers Blvd
Parma, OH 44129-5437

Phone 440-743-4020

Mailing address

5705 W Longridge Dr
Seven Hills, OH 44131-1735

Phone 440-225-6295

Other practice locations

77 Goodell St Ste 340
Buffalo, NY 14203-1243

Phone 716-645-9707

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