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Contact Information

JOAN S BLAKE, M.S.,R.D.,L.D.N
524 BOSTON POST RD
WAYLAND, MA01778-1833
 Phone: 508-358-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for JOAN S BLAKE · (Female)

NPI # 1750492567
Status Active
Credentials M.S.,R.D.,L.D.N
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 35
  • MA Other LD0028 BLUE CROSS BLUE SHIELD
  • MA Other AA2107 HARVARD PILGRIM
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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