Individual
MR. JOHN CHRISTOPHER BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907
(732) 235-4828
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-5879
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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