Individual
DR. ROBERT BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
(203) 867-5264
Mailing address
330 BLAKE CIR, HAMDEN, CT 06517-3300
(203) 624-2428
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025450
CT
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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