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Contact Information

ANDREW C BLAKE JR, MD
115 CASS AVE
WOONSOCKET, RI02895-4731
 Phone: 401-769-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ANDREW C BLAKE JR · (Male)

NPI # 1356083497
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2022
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0028930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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