Individual
DR. RAY A BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON RD, SUITE 1E50, NEWARK, DE 19718-0002
(302) 733-1980
(302) 733-1986
Mailing address
4755 OGLETOWN STANTON RD, P. O. BOX 6001, NEWARK, DE 19718-0001
(302) 733-1980
(302) 733-1986
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C10004901
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000766101
—
DE
Enumeration date
09/27/2006
Last updated
08/24/2007
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