Dr. Jacalyn Cecelia Blackwell-white
M.D. | Pediatric Adolescent Medicine | Female
Dr. Jacalyn Cecelia Blackwell-white, M.D. is a Randallstown, Maryland based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jacalyn Cecelia Blackwell-white is
5400 Old Court Rd Ste 300b, Randallstown, Maryland - 21133-5100. She can be contacted on phone at
410-521-7337 and fax number 410-521-7377.
Dr. Jacalyn Cecelia Blackwell-white is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jacalyn Cecelia Blackwell-white is
1548355506 which was assigned by NPPES on 04 Oct, 2006 and it was last updated on 04 Apr, 2019.
Dr. Jacalyn Cecelia Blackwell-white license number is
D35187 for Pediatrics Adolescent Medicine (2080A0000X) in Maryland.
Dr. Jacalyn Cecelia Blackwell-white specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Jacalyn Cecelia Blackwell-white basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Jacalyn Cecelia Blackwell-white |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Jacalyn Cecelia Blackwell-white address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5400 Old Court Rd Ste 300b
Randallstown, MD, 21133-5100
United States |
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| Phone Number : | 410-521-7337 |
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| Fax Number : | 410-521-7377 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548355506 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2006 |
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| Last Updated On : | 04 Apr, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacalyn Cecelia Blackwell-white are as mentioned. Primary taxonomy code for Dr. Jacalyn Cecelia Blackwell-white, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | D35187 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jacalyn Cecelia Blackwell-white such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 443261400 | MEDICAID | MD | |
| 1789J | Other | MD | CAREFIRST |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5400 Old Court Rd Ste 300b
Randallstown, MD, 21133-5100
United States |
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| Phone Number : | 410-521-7337 |
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| Fax Number : | 410-521-7377 |
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Business Location:
Patients can refer following map for directions to
Dr. Jacalyn Cecelia Blackwell-white practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.