CARLY ELIZABETH BLACK

PHILADELPHIA, PA
NPI1316580483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA061151)
Enumeration Date2019-10-22
Last Update Date2022-09-12
Business Address
CARLY ELIZABETH BLACK PA-C
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2096
Mailing Address
CARLY ELIZABETH BLACK PA-C
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-2096
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