SearchNew JerseyPhysician Assistant

Traci Blake, PA

NPI 1922519271 · on the registry since 2017

Practice

Address
401 S Van Brunt St Ste 3
Englewood, NJ 07631
Phone
(201) 569-2770
Fax
(201) 569-1774
Organisation at this address
If Pain Associates Llc
Jeffrey A Shenfeld Md Pc
Stephen H. Jaffe, Md, Llc
Digitrace Care Services Inc
Capernum Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-18

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 New Jersey