JASON W BLACK

BALTIMORE, MD
NPI1245259902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: MD  D61199)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MD  D61199)
Enumeration Date2006-07-19
Last Update Date2011-12-21
Business Address
Dr. JASON W BLACK M.D.
6701 N CHARLES ST STE 4105
BALTIMORE, MD 21204-6808
Phone number: 443-849-3184
Mailing Address
Dr. JASON W BLACK M.D.
PO BOX 41895
BOSTON, MA 02241-8953
Phone number: