Individual
DR. MELANIE RUSSELL BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 388-4160
(781) 397-8715
Mailing address
109 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 388-4160
(781) 397-8715
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71405
MA
Other
Enumeration date
05/11/2006
Last updated
09/23/2019
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