Individual
BARBARA A BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1821 FULTON ST, HARRISBURG, PA 17102-1522
(717) 232-9971
(717) 230-3914
Mailing address
109 LYNDHURST RD, YORK, PA 17402-3016
(717) 880-1318
(717) 741-5762
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002964L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175727
—
PA
01
—
562755
BLUE SHIELD
PA
Enumeration date
10/28/2005
Last updated
07/08/2007
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