Michael Austin Blake in Boston - Diagnostic Radiology
Michael Austin Blake - NPI 1871583039
Michael Austin Blake is a Diagnostic Radiology in Boston, Massachusetts. Michael Austin Blake practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michael Austin Blake is 1871583039. The last update date is 2007-07-08.
Michael Austin Blake's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177268763 and fax number 6177264891. The mailing address for Michael Austin Blake is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Austin Blake |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6177268763 |
| Fax Number | 6177264891 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871583039 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142621 |
| Phone Number | 6177268763 |
| Fax Number | 6177264891 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 159745 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 159745 | MA | TUFTS HEALTH PLAN | |
| 100811 | MA | -- | |
| J22412 | MA | BCBS MA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael Austin Blake by the Centers for Medicare & Medicaid Services?
The Michael Austin Blake has been assigned the NPI (National Provider Identifier) 1871583039 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Michael Austin Blake's physical address?
The Michael Austin Blake is physically located at 55 Fruit St, in the city of Boston, MA, with the postal code 21142621.
What is Michael Austin Blake's area of expertise and its corresponding taxonomy classification?
The Michael Austin Blake's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
When did Michael Austin Blake receive its 1871583039 assignment?
The Michael Austin Blake was assigned its 1871583039 on 2005-10-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Austin Blake's details last updated?
The information pertaining to the Michael Austin Blake, including its address, specialty, and other details, was most recently updated on 2007-07-08.