Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carly Blick, MD

Individual provider Emergency Medicine Physician · NPI 1619407772

Dr. Carly Blick, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2017, 9 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD468708 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MT214210 (PA)

Record details

NPI number1619407772
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2017 (9 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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