Individual provider · Type 1 NPI

Diane R. Blake, MD

Pediatric Adolescent Medicine Physician · Worcester, MA

NPI number 1316921182 Active

Practice location

55 Lake Ave N, Department Of Adolescent Medicine
Worcester, MA 01655-0002

Call (508) 856-5624 Map

Mailing address

PO Box 62, Turnpike Station
Shrewsbury, MA 01545-0062

Other practice locations

  • 10 Main St, Florence, MA 01062-3160 · (413) 341-9400

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X154470 (MA)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2,922 other providers at this address

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About NPI 1316921182

Diane R. Blake, MD's National Provider Identifier is 1316921182, issued on Dec 5, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Worcester, MA. The record was last updated on Jul 14, 2026.