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Individual

DR. SUSAN HARRIET BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 IRVING ST NW, POB #3800 NORTH WASHINGTON HOSPITAL CENTER, WASHINGTON, DC 20010-2975
(202) 877-6093
(202) 877-8695
Mailing address
PO BOX 418498, BOSTON, MA 02241-8498
(703) 558-1544

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
0101039820
VA

Other

Enumeration date
07/12/2006
Last updated
02/27/2012
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