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
Provider Name :Mercedes M Blackstone
Credential :M.D.
Gender :Female
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
Phone Number :215-590-1944
Fax Number :215-590-4454
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
NPI Entity Type : Individual
First Enrolment Date : 21 Jul, 2006
Last Updated On : 16 Apr, 2013
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 SpecialityPrimaryLicense No.State
208000000XPediatricsNoMD424581PA
2080P0204XPediatrics Pediatric Emergency MedicineYesMD424581PA
Legacy Identifiers:
Other legacy medical identifiers of Mercedes M Blackstone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
101521060MEDICAIDPA
0105422MEDICAIDNJ
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
Phone Number :267-425-9234
Fax Number :267-425-9299
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.