MARA BLACK

BURLINGTON, VT
NPI1437656659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: VT  042.0040390)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: MD  D94025)
Enumeration Date2018-04-13
Last Update Date2026-08-10
Business Address
MARA BLACK
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-1400
Mailing Address
MARA BLACK
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number: 410-933-6423