# ROBERT EUGENE BLACKBURN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457318198
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 169882 | NY | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 11/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000912964001 | HEALTHNOW | NY |
| 05 | — | 01039918 | — | NY |
| 01 | — | 5520487 | AETNA | NY |
| 01 | — | 6948 | BLUE CROSS BLUE SHIELD | NY |
| 01 | — | CFP1698828 | WORKERS COMPENSATION | NY |
| 01 | — | MD130D | PREFERRED CARE | NY |