Philip Black, ATC, PA-C
Physician Assistant, Surgical in Danbury, Connecticut
1023587094- Practice location
- 2 Riverview Dr, Danbury, CT 06810-6268
- Phone
- 203-797-1500
- Fax
- —
- Last updated
- August 19, 2024
Philip Black is a Physician Assistant, Surgical based in Danbury, CT. Philip Black practices in Danbury, CT and has the professional credentials of ATC, PA-C. The NPI Number for Philip Black is 1023587094 and holds a License No. 4359 (CT). The current practice location address for Philip Black is 2 Riverview Dr, Danbury, CT 06810-6268 and can be reached out via phone at 203-797-1500.
Provider Profile Details
- NPI Number
- 1023587094
- Provider Name
- Philip Black
- Credential
- ATC, PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Riverview Dr, Danbury, CT 06810-6268
- Phone Number
- 203-797-1500
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 19, 2018
- Last Update Date
- August 19, 2024
- Certification Date
- August 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Riverview Dr
Danbury, CT 06810-6268 - City
- Danbury
- State
- Connecticut
- Zip
- 06810-6268
- Phone Number
- 203-797-1500
Provider Business Mailing Address Details
- Address
- 2 Riverview Dr
Danbury, CT 06810-6268 - City
- Danbury
- State
- CT
- Zip
- 06810-6268
- Phone Number
- 203-797-1500
- Fax Number
- 203-702-6695
License Information
- License Number
- 4359
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Philip Black, ATC, PA-C?
The NPI number of Philip Black, ATC, PA-C is 1023587094. It was assigned on November 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Philip Black, ATC, PA-C?
Philip Black, ATC, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 4359.
Where does Philip Black, ATC, PA-C practice?
The practice location is 2 Riverview Dr, Danbury, CT 06810-6268. The office can be reached at 203-797-1500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023587094 directly on the NPPES registry website.