Individual
DR. STUART L BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 UNION AVE STE 1005, SYRACUSE, NY 13203
(315) 424-0790
(315) 475-0916
Mailing address
PO BOX 419519, BOSTON, MA 02241-9519
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
294864
NY
2086S0129X
Vascular Surgery Physician
Primary
294864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042312909
BRIGHAM AND WOMEN'S HOSPITAL
MA
05
—
05221650
—
NY
Enumeration date
04/06/2009
Last updated
05/20/2020
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