Individual
ERIC BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 DIXWELL AVE, HAMDEN, CT 06514-3615
(203) 288-1700
Mailing address
204 8TH AVE, HADDON HEIGHTS, NJ 08035-1631
(609) 605-0333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3462
CT
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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