Active NPIIndividual provider

Dr. Melanie R Blackstock, MD

Obstetrics & Gynecology in Malden, Massachusetts

NPI Number1477503571
Practice location
109 Commercial St, Malden, MA 02148-5509
Fax
781-397-8715
Last updated
September 23, 2019

Melanie Russell Blackstock is an Obstetrics & Gynecology based in Malden, MA. Melanie Russell Blackstock practices in Malden, MA and has the professional credentials of MD. The NPI Number for Melanie Russell Blackstock is 1477503571 and holds a License No. 71405 (MA). The current practice location address for Melanie Russell Blackstock is 109 Commercial St, Malden, MA 02148-5509 and can be reached out via phone at 781-388-4160 and via fax at 781-397-8715.

Provider Profile Details

NPI Number
1477503571
Provider Name
Melanie Russell Blackstock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
109 Commercial St, Malden, MA 02148-5509
Phone Number
781-388-4160
Fax Number
781-397-8715
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2006
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Commercial St
Malden, MA 02148-5509
City
Malden
Zip
02148-5509
Phone Number
781-388-4160
Fax Number
781-397-8715
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
109 Commercial St
Malden, MA 02148-5509
City
Malden
State
MA
Zip
02148-5509
Phone Number
781-388-4160
Fax Number
781-397-8715

License Information

License Number
71405
License State
MA
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Melanie R Blackstock, MD?

The NPI number of Dr. Melanie R Blackstock, MD is 1477503571. It was assigned on May 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Melanie R Blackstock, MD?

Dr. Melanie R Blackstock, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 71405.

Where does Dr. Melanie R Blackstock, MD practice?

The practice location is 109 Commercial St, Malden, MA 02148-5509. The office can be reached at 781-388-4160 (phone) or 781-397-8715 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477503571 directly on the NPPES registry website.

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