ERIC BLACK

HAMDEN, CT
NPI1962874792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  3462)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- ERIC BLACK PA-C
1650 DIXWELL AVE
HAMDEN, CT 06514-3615
Phone number: 203-288-1700
Mailing Address
-- ERIC BLACK PA-C
204 8TH AVE
HADDON HEIGHTS, NJ 08035-1631
Phone number: 609-605-0333
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