Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Diane R Blake, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1316921182

Dr. Diane R Blake, MD is a Pediatric Adolescent Medicine Physician in Worcester, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Lake Ave N Dept OF Adolescent Medicine
Worcester, MA 01655-0002
Phone: (508) 856-5624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Main St, Florence, MA 01062-3160 — (413) 341-9400

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 154470 (MA)

Record details

NPI number1316921182
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing addressPo Box 62, Turnpike Station, Shrewsbury, MA 01545-0062

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