Dr. Samuel Charles Blackman
MD, PHD | Pediatric Hematology-Oncology | Male
Dr. Samuel Charles Blackman, MD, PHD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Samuel Charles Blackman is
34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania - 19104. He can be contacted on phone at
215-590-1000.
Dr. Samuel Charles Blackman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel Charles Blackman is
1790782605 which was assigned by NPPES on 07 Jul, 2005 and it was last updated on 03 Oct, 2008.
Dr. Samuel Charles Blackman license number is
MD433904 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Pennsylvania.
Dr. Samuel Charles Blackman is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Samuel Charles Blackman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Samuel Charles Blackman |
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| Credential : | MD, PHD |
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| Gender : | Male |
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Business Address:
Dr. Samuel Charles Blackman 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 : | 34th & Civic Center Blvd, Children's Hospital Of Philadelphia
Philadelphia, PA, 19104
United States |
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| Phone Number : | 215-590-1000 |
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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 : | 1790782605 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2005 |
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| Last Updated On : | 03 Oct, 2008 |
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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. Samuel Charles Blackman are as mentioned. Primary taxonomy code for Dr. Samuel Charles Blackman, MD, PHD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD433904 | PA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 220358 | MA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD433904 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel Charles Blackman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 11372260 | Other | PA | CAQH ID |
| 30052689 | Other | PA | KEYSTONE MERCY HEALTH PLAN --ONCOLOGY |
| 64065881 | MEDICAID | KY | |
| 20074413 | Other | PA | AMERIHEALTH MERCY HEALTH PLAN --ONCOLOGY |
| 30052688 | Other | PA | KEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICS |
| 20074409 | Other | PA | AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS |
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 N 20th St Ste 301, Chca
Philadelphia, PA, 19103-1454
United States |
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| Phone Number : | 215-567-2422 |
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| Fax Number : | 215-977-8864 |
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Business Location:
Patients can refer following map for directions to
Dr. Samuel Charles Blackman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.