Mary T Blackwell
MD | Pediatrics | Female
Mary T Blackwell, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics. Mary T Blackwell is also known as
Mary Elizabeth Thiery.
Current practice location of Mary T Blackwell is
Dowling 3 South One Boston Medical Center Place, Child Health Foundation Of Boston, Boston, Massachusetts - 02118. She can be contacted on phone at
617-414-5170 and fax number 617-414-3803.
Mary T Blackwell is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary T Blackwell is
1538141965 which was assigned by NPPES on 21 Nov, 2005 and it was last updated on 08 Jul, 2007.
Mary T Blackwell is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary T Blackwell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary T Blackwell |
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| Other Name : | Mary Elizabeth Thiery |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary T Blackwell 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 : | Dowling 3 South One Boston Medical Center Place, Child Health Foundation Of Boston
Boston, MA, 02118
United States |
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| Phone Number : | 617-414-5170 |
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| Fax Number : | 617-414-3803 |
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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 : | 1538141965 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Mary T Blackwell are as mentioned. Primary taxonomy code for Mary T Blackwell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 78516 | MA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 78516 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Mary T Blackwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3114147 | MEDICAID | MA | |
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 : | One Boston Medcial Center Place, Division Of Pediatrics Dowling 3 South
Boston, MA, 02118
United States |
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| Phone Number : | 617-414-5170 |
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| Fax Number : | 617-414-3803 |
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Business Location:
Patients can refer following map for directions to
Mary T Blackwell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.