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Marissa Blake

NPI 1275103343 · on the registry since 2021

Practice

Address
28 Crescent St
Middletown, CT 06457
Phone
(860) 358-6000
Organisation at this address
Middlesex Hospital
Middlesex Hospital
Middlesex Hospital
Mhs Primary Care, Inc
Middlesex Hospital Paramedics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
166

Additional practice sites

  • 2 Corporate Dr 9th Fl Ste 955, Shelton, CT

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
390200000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut