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Individual

MATTHEW CRITTENDEN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 LOTHROP ST., C800, PITTSBURGH, PA 15213
(412) 647-7555
(412) 647-3710
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
48212
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD464171
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100177690
KY
Enumeration date
04/06/2010
Last updated
08/22/2019
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