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Dr. Jacalyn Cecelia Blackwell-white, MD
Pediatric Adolescent Medicine Physician in Randallstown, Maryland
NPI 1548355506

Jacalyn Cecelia Blackwell-white is a Pediatric Adolescent Medicine Physician based in Randallstown, MD and is specialized in Adolescent Medicine. Jacalyn Cecelia Blackwell-white practices in Randallstown, MD and has the professional credentials of MD. The NPI Number for Jacalyn Cecelia Blackwell-white is 1548355506 and holds a License No. D35187 (Maryland).

The current practice location address for Jacalyn Cecelia Blackwell-white is 5400 Old Court Rd Ste 300B, Randallstown, MD and can be reached out via phone at 410-521-7337 and via fax at 410-521-7377.

Location: 5400 Old Court Rd Ste 300B, Randallstown, MD, 21133-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548355506
Provider Name
Jacalyn Cecelia Blackwell-white
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5400 Old Court Rd Ste 300B, Randallstown, MD, 21133-5100
Phone Number
410-521-7337
Fax Number
410-521-7377
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
443261400 05 MD
1789J 01 MD CAREFIRST
institution
Provider Business Practice Location Address Details
Address
5400 Old Court Rd Ste 300B
City
Randallstown
State
Maryland
Zip
21133-5100
Phone Number
410-521-7337
Fax Number
410-521-7377
person
Provider Business Mailing Address Details
Address
5400 Old Court Rd Ste 300B
City
Randallstown
State
Maryland
Zip
21133-5100
Phone Number
410-521-7337
Fax Number
410-521-7377
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
D35187 (Maryland)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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