IndividualActive
Blake Watterworth, MD
NPI 1457693889 · Pain Medicine (Anesthesiology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1457693889
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD474164 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce Street
Philadelphia, PA 19104-4206
Phone: (215) 349-8310
Fax: (215) 893-7270
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce Street
Philadelphia, PA 19104-4206
Registry dates
- Enumerated
- 2013-03-24
- Last updated
- 2021-09-10
- Certified
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.