Organization
BLAKE & SLOAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX A TORRES (BILLING MANAGER)
(703) 684-4581
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774-5376
(301) 925-7610
(301) 925-7619
Mailing address
1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774-5376
(301) 925-7610
(301) 925-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
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
Enumeration date
03/31/2007
Last updated
08/22/2020
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