Individual
MARGARET ANNE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(973) 322-5000
Mailing address
146 HANCOCK AVE # 1, JERSEY CITY, NJ 07307-2018
(201) 665-3289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19736100
NJ
163W00000X
Registered Nurse
683362
NY
163W00000X
Registered Nurse
RN1026759
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00803100
NJ
Other
Enumeration date
10/24/2017
Last updated
09/28/2022
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