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Dr. Samuel Charles Blackman, MD,PHD
Pediatric Hematology & Oncology Physician in Philadelphia, Pennsylvania
NPI 1790782605

Samuel Charles Blackman is a Pediatric Hematology & Oncology Physician based in Philadelphia, PA and is specialized in Pediatric Hematology-Oncology. Samuel Charles Blackman practices in Philadelphia, PA and has the professional credentials of MD,PHD. The NPI Number for Samuel Charles Blackman is 1790782605 and holds a License No. MD433904 (Pennsylvania).

The current practice location address for Samuel Charles Blackman is 34Th & Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1000. You can also correspond with Samuel Charles Blackman through the mailing address at 100 N 20TH ST STE 301, PHILADELPHIA, PA - 19103-1454 (mailing address contact number: 215-567-2422).

Location: 34Th & Civic Center Blvd, Philadelphia, PA, 19103-1454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790782605
Provider Name
Samuel Charles Blackman
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
34Th & Civic Center Blvd, Philadelphia, PA, 19103-1454
Phone Number
215-590-1000
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20074409 01 PA AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
30052688 01 PA KEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICS
64065881 05 KY
20074413 01 PA AMERIHEALTH MERCY HEALTH PLAN --ONCOLOGY
30052689 01 PA KEYSTONE MERCY HEALTH PLAN --ONCOLOGY
11372260 01 PA CAQH ID
institution
Provider Business Practice Location Address Details
Address
34Th & Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-590-1000
Fax Number
person
Provider Business Mailing Address Details
Address
100 N 20Th St Ste 301
City
Philadelphia
State
Pennsylvania
Zip
19103-1454
Phone Number
215-567-2422
Fax Number
215-977-8864
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
220358 (Massachusetts)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
2080P0207X
License No.
MD433904 (Pennsylvania)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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