Individual
COLIN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 GROTON RD, AYER, MA 01432-1168
(617) 562-5476
Mailing address
9 GALEN ST STE 130, WATERTOWN, MA 02472-4521
(617) 562-5476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
225542
MA
Other
Enumeration date
11/16/2005
Last updated
11/03/2020
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