MICHAEL LAURENCE BLAKE

LAKEWOOD, NJ
NPI1417111493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA08599800)
Enumeration Date2008-07-18
Last Update Date2011-03-08
Business Address
Dr. MICHAEL LAURENCE BLAKE MD
600 RIVER AVE
LAKEWOOD, NJ 08701-5237
Phone number: 732-942-5721
Mailing Address
Dr. MICHAEL LAURENCE BLAKE MD
600 RIVER AVE
LAKEWOOD, NJ 08701-5237
Phone number: 732-942-5721
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