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Contact Information

DANIELLE BLAKE, MD
741 NORTHFIELD AVE STE 104
WEST ORANGE, NJ07052-1104
 Phone: 973-243-1486
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DANIELLE BLAKE · (Female)

NPI Number 1396159620
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2014
Last updated 12/16/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10613900
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
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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