Individual
ANNIKA BLACKBIRD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF GENERAL PEDIATRICS, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10760351
PA
208000000X
Pediatrics Physician
Primary
MT237677
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
06/05/2026
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