# BLAKE & SLOAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598885436
- **Authorized official:** ALEX A TORRES (BILLING MANAGER)
- **Authorized official phone:** (703) 684-4581

## Contact information

- **Practice address:** 1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774-5376
- **Practice address phone:** (301) 925-7610
- **Practice address fax:** (301) 925-7619
- **Mailing address:** 1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774-5376
- **Mailing address phone:** (301) 925-7610
- **Mailing address fax:** (301) 925-7619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0478-0003 | CAREFIRST-FED - DR. SLOAN | DC |
| 01 | — | 04780002 | CAREFIRST-FED - DR BLAKE | DC |
| 01 | — | CIGNA | CIGNA | MD |
| 01 | — | KCT4BL | CAREFIRST - MD | MD |