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Organization

JACALYN BLACKWELL-WHITE, M,D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFTON FRANCIS WHITE (OFFICE ADMINISTRATOR)
(410) 521-7337
Entity
Organization

Contact information

Practice address
3527 N ROLLING RD, SUITE 1, BALTIMORE, MD 21244-2223
(410) 521-7337
(410) 521-7377
Mailing address
3527 N ROLLING RD, SUITE 1, BALTIMORE, MD 21244-2223
(410) 521-7337
(410) 521-7377

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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