Organization
BLAKE GASTROENTEROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STEVEN BLAKE DO (CEO)
(215) 849-4902
Entity
Organization
Contact information
Practice address
6827-31 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2113
(215) 849-4902
(215) 849-4907
Mailing address
6827-31 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2113
(215) 849-4902
(215) 849-4907
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS007404E
PA
Other
Enumeration date
10/25/2006
Last updated
06/27/2012
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