Individual
DR. JOHN ROBERT BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 COLD SOIL RD, PRINCETON, NJ 08540-4202
(609) 896-1122
(609) 896-2688
Mailing address
170 COLD SOIL RD, PRINCETON, NJ 08540-4202
(609) 896-1122
(609) 896-2688
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04675900
NJ
Other
Enumeration date
09/26/2006
Last updated
08/28/2020
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