Edward Blackman in Thousand Oaks - Anatomic Pathology & Clinical Pathology

Edward Blackman - NPI 1215903455

Edward Blackman is a Anatomic Pathology & Clinical Pathology in Thousand Oaks, California. Edward Blackman practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Edward Blackman is 1215903455. The last update date is 2010-02-16.

Edward Blackman's current location address is 2190 Lynn Rd, Thousand Oaks, California. You can contact this provider via phone number 8054958050 and fax number 8054962160. The mailing address for Edward Blackman is 2190 Lynn Rd, Thousand Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Blackman
Address 2190 Lynn Rd, Thousand Oaks, California
Phone Number 8054958050
Fax Number 8054962160
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215903455
Provider Enumeration Date 2006-02-27
Last Updated Date 2010-02-16

Provider Mailing Address Detail

Address 2190 Lynn Rd
City Thousand Oaks
State California (CA)
Post Code 91360
Phone Number 8054958050
Fax Number 8054962160

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No G49755
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G497750 CA --

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FAQs about Edward Blackman

Where is the Edward Blackman located?

The Edward Blackman is located at 2190 Lynn Rd, Thousand Oaks, CA 91360.

What is the Edward Blackman's specialty and taxonomy code?

The Edward Blackman's specialty is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code is 207Zp0102X.

When was the Edward Blackman's 1215903455 issued?

The Edward Blackman's 1215903455 was issued on 2006-02-27.

On what date did the Centers for Medicare & Medicaid Services issue the 1215903455 to Edward Blackman?

The Edward Blackman received its 1215903455 assignment from the Centers for Medicare & Medicaid Services on 2006-02-27.

When was the information pertaining to Edward Blackman most recently updated or revised?

The details related to Edward Blackman, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-16.

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