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1932859956
MILES HENRY BLACK
PHILADELPHIA, PA
NPI
1932859956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
Dr. MILES HENRY BLACK MD, Ph.D.
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4829
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Mailing Address
Dr. MILES HENRY BLACK MD, Ph.D.
18 LAUREL DR
NEW PROVIDENCE, NJ 07974-2420
Phone number: 908-578-5520
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