Individual
DAVID BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 COMMERCE DR, NORTHBRIDGE, MA 01534-1415
(508) 372-3510
(508) 234-2627
Mailing address
9 INDUSTRIAL RD STE 5, MILFORD, MA 01757-3736
(508) 473-1480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6440
MA
Other
Enumeration date
02/26/2018
Last updated
08/05/2025
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