Samuel Charles Blackman in Philadelphia - Pediatrics

Samuel Charles Blackman - NPI 1790782605

Samuel Charles Blackman is a Pediatrics in Philadelphia, Pennsylvania. Samuel Charles Blackman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Samuel Charles Blackman is 1790782605. The last update date is 2008-10-03.

Samuel Charles Blackman's current location address is 34th & Civic Center Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155901000. The mailing address for Samuel Charles Blackman is 34th & Civic Center Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Charles Blackman
Address 34th & Civic Center Blvd, Philadelphia, Pennsylvania
Phone Number 2155901000
Fax Number
Sole Proprietor N
Credentials MD, PHD

NPI Number Detail

NPI Number 1790782605
Provider Enumeration Date 2005-07-07
Last Updated Date 2008-10-03

Provider Mailing Address Detail

Address 34th & Civic Center Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191040
Phone Number 2155901000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD433904
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20074409 PA AMERIHEALTH MERCY HEALTH PLAN
30052688 PA KEYSTONE MERCY HEALTH PLAN --G
64065881 KY --
20074413 PA AMERIHEALTH MERCY HEALTH PLAN
30052689 PA KEYSTONE MERCY HEALTH PLAN --O
11372260 PA CAQH ID

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FAQs about Samuel Charles Blackman

What is the unique 10-digit identifier code issued to Samuel Charles Blackman by the Centers for Medicare & Medicaid Services?

The Samuel Charles Blackman has been assigned the NPI (National Provider Identifier) 1790782605 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Samuel Charles Blackman located?

The Samuel Charles Blackman is located at 34Th & Civic Center Blvd, Philadelphia, PA 191040.

What is Samuel Charles Blackman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Samuel Charles Blackman is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

When was the Samuel Charles Blackman's 1790782605 issued?

The Samuel Charles Blackman's 1790782605 was issued on 2005-07-07.

When was the information related to Samuel Charles Blackman most recently updated or refreshed?

The details pertaining to the Samuel Charles Blackman, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-03.

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