Individual
DR. JEFFERY IRVING BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2216 S SHORE DR, ERIE, PA 16505-2144
(814) 454-7447
Mailing address
2216 S SHORE DR, ERIE, PA 16505-2144
(814) 454-7447
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019328E
PA
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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