IndividualActive
Douglas Blake, MD
NPI 1104883123 · Anesthesiology Physician · Providence, RI
Provider details
- NPI number
- 1104883123
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- RI8815 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
591 Eddy St
Dept of Anesthesia
Providence, RI 02903-4922
Phone: (401) 444-2284
Fax: (401) 444-5083
Approximate (ZIP-level) locationGet directions
Mailing address
690 Canton St
Westwood, MA 02090-2324
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2016-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.