Individual
CASSANDRA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 WASHINGTON RD STE 204A, WESTMINSTER, MD 21157-5780
(717) 741-8003
(717) 741-8016
Mailing address
826 WASHINGTON RD STE 204A, WESTMINSTER, MD 21157-5780
(410) 525-5144
(410) 970-4648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT018410
PA
Other
Enumeration date
06/01/2018
Last updated
12/28/2023
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