Individual
DR. DAVID BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(855) 633-0363
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(855) 633-0363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0089057
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2017
Last updated
07/13/2020
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