Individual
BENJAMIN BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4247
(401) 444-3056
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP03113
RI
207P00000X
Emergency Medicine Physician
Primary
MD16290
RI
Other
Enumeration date
06/06/2014
Last updated
06/28/2018
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