Individual provider · Type 1 NPI

Eric Black, PA-C

Medical Physician Assistant · Hamden, CT

NPI number 1962874792 Active

Practice location

1650 Dixwell Ave
Hamden, CT 06514-3615

Call (203) 288-1700 Map

Mailing address

204 8th Ave
Haddon Heights, NJ 08035-1631

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3462 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1962874792

Eric Black, PA-C's National Provider Identifier is 1962874792, issued on Oct 20, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hamden, CT. The record was last updated on Oct 20, 2015.