Individual
DR. ANDREW CECIL BLAKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
150 E WYNNEWOOD RD, WYNNEWOOD, PA 19096-1547
(302) 632-5128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C1-0028930
DE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2022
Last updated
02/16/2026
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