Mercedes M Blackstone
M.D. | Pediatric Emergency Medicine | Female
Mercedes M Blackstone, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Mercedes M Blackstone is
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, Pennsylvania - 19104-4319. She can be contacted on phone at
215-590-1944 and fax number 215-590-4454.
Mercedes M Blackstone is a sole proprietor of her business.
NPI number (Unique professional ID) for Mercedes M Blackstone is
1376564179 which was assigned by NPPES on 21 Jul, 2006 and it was last updated on 16 Apr, 2013.
Mercedes M Blackstone license number is
MD424581 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Mercedes M Blackstone has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mercedes M Blackstone basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Mercedes M Blackstone |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mercedes M Blackstone 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 : | 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med
Philadelphia, PA, 19104-4319
United States |
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| Phone Number : | 215-590-1944 |
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| Fax Number : | 215-590-4454 |
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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 : | 1376564179 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2006 |
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| Last Updated On : | 16 Apr, 2013 |
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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 Mercedes M Blackstone are as mentioned. Primary taxonomy code for Mercedes M Blackstone, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD424581 | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD424581 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Mercedes M Blackstone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 101521060 | MEDICAID | PA | |
| 0105422 | MEDICAID | NJ | |
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 : | 100 E Penn Sq, 9th Floor
Philadelphia, PA, 19107-3323
United States |
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| Phone Number : | 267-425-9234 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Mercedes M Blackstone 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.