Jacalyn Blackwell-White, M,d., PA

NPI #1588965271 in Baltimore, Maryland

Provider Information

NPI Number: 1588965271
Entity Type: Organization
Organization Name: Jacalyn Blackwell-White, M,d., PA
Primary Specialty: Pediatrics
Enumeration Date: Nov 11, 2010
Last Updated: Nov 11, 2010

Practice Location

Address: 3527 N ROLLING RD
Address 2: SUITE 1
City: Baltimore
State: Maryland
ZIP Code: 21244-2223
Phone: (410) 521-7337

Authorized Official

Name: MR. CLIFTON FRANCIS WHITE
Title: OFFICE ADMINISTRATOR
Phone: (410) 521-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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