Individual
DR. ELLEN M BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
273 AVENUE A, BAYONNE, NJ 07002-1367
(201) 858-0800
(201) 858-3367
Mailing address
273 AVENUE A, BAYONNE, NJ 07002-1367
(201) 858-0800
(201) 858-3367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA043128
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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