IndividualActive
Andrew Blake, MD
NPI 1356083497 · Emergency Medicine Physician · Woonsocket, RI
Provider details
- NPI number
- 1356083497
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0028930 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
115 Cass Ave
Woonsocket, RI 02895-4731
Phone: (401) 769-4100
Approximate (ZIP-level) locationGet directions
Mailing address
150 E Wynnewood Rd
Wynnewood, PA 19096-1547
Registry dates
- Enumerated
- 2022-04-09
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.