PHILIP BLACK

DANBURY, CT
NPI1023587094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  4359)
Enumeration Date2018-11-19
Last Update Date2024-08-19
Business Address
PHILIP BLACK ATC, PA-C
2 RIVERVIEW DR
DANBURY, CT 06810-6268
Phone number: 203-797-1500
Mailing Address
PHILIP BLACK ATC, PA-C
2 RIVERVIEW DR
DANBURY, CT 06810-6268
Phone number: 203-797-1500
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