CARL BLACK

PHILADELPHIA, PA
NPI1336723840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: PA  OA005627)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
MR. CARL BLACK PA-C
1216 E HUNTING PARK AVE
PHILADELPHIA, PA 19124-4928
Phone number: 215-533-1333
Mailing Address
MR. CARL BLACK PA-C
1216 E HUNTING PARK AVE
PHILADELPHIA, PA 19124-4928
Phone number: 215-533-1333
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