MICHAEL AUSTIN BLAKE

BOSTON, MA
NPI1871583039
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MA  159745)
Enumeration Date2005-10-27
Last Update Date2007-07-08
Business Address
DR. MICHAEL AUSTIN BLAKE MD
55 FRUIT ST ELL 2 RADIOLOGICAL ASSOCIATES
BOSTON, MA 02114-2621
Phone number: 617-726-8763
Mailing Address
DR. MICHAEL AUSTIN BLAKE MD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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