Individual
DR. RYAN GRAHAM BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 305, PHILADELPHIA, PA 19114-1025
(215) 969-4917
(215) 969-5875
Mailing address
FRONT ST AND ERIE AVE, ST CHRISTOPHERS HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134
(215) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OT012097
PA
Other
Enumeration date
06/06/2008
Last updated
04/08/2013
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