Individual
DR. MARISSA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HYGEIA DR STE 1420, NEWARK, DE 19713-2049
(302) 623-3017
(302) 266-9962
Mailing address
1215 LEE ST. BOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-1064
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C1-0027182
DE
Other
Enumeration date
03/31/2019
Last updated
07/10/2024
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