Individual
SOPHIA ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
7 RIVERSIDE AVE, GLOUCESTER, MA 01930-2520
(978) 491-7137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
11/24/2025
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