Individual provider · Type 1 NPI

Miles Henry Black, MD, PhD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1932859956 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 662-4829 Map

Mailing address

18 Laurel Dr
New Providence, NJ 07974-2420

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932859956

Miles Henry Black, MD, PhD's National Provider Identifier is 1932859956, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 24, 2022.