Individual provider · Type 1 NPI

Marilyn Blackston. MD, MD

General Practice Physician · Baltimore, MD

NPI number 1508356866 Active

Practice location

3655 Old Court Rd, Suite 7
Baltimore, MD 21208

Mailing address

3409 Wild Cherry Rd.
Baltimore, MD 21244

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XD0031470 (MD)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1508356866

Marilyn Blackston. MD, MD's National Provider Identifier is 1508356866, issued on May 12, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baltimore, MD. The record was last updated on May 12, 2018.