NPI 1215008693 · live from the CMS NPI Registry
Craig David Blackstone, M.D., Ph.D.
Psychiatry & Neurology, Neurology in Boston, MA. National Provider Identifier 1215008693, active.
NPI record
| NPI | 1215008693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 55 Fruit St, Boston, MA 02114 |
| Practice phone | 301-219-8305 |
| Enumerated | November 10, 2006 |
| Last updated | October 28, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 153603 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.