Organization
RICHARD E BLAKE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ENRIQUE BLAKE M.D. (PRESIDENT)
(301) 983-9366
Entity
Organization
Contact information
Practice address
1111 SPRING ST, SUITE 300, SILVER SPRING, MD 20910-4003
(301) 608-9480
(301) 608-9088
Mailing address
8214 TUCKERMAN LN, POTOMAC, MD 20854-3744
(301) 983-9366
(301) 983-3283
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
D30235
MD
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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