person
Mr. Carl Black JR., PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1336723840

Carl Black JR. is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Carl Black JR. practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Carl Black JR. is 1336723840 and holds a License No. OA005627 (Pennsylvania).

The current practice location address for Carl Black JR. is 1216 E Hunting Park Ave, Philadelphia, PA and can be reached out via phone at 215-533-1333 and via fax at 215-744-4324.

Location: 1216 E Hunting Park Ave, Philadelphia, PA, 19124-4928
person
Provider Profile Details
NPI Number
1336723840
Provider Name
Carl Black JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1216 E Hunting Park Ave, Philadelphia, PA, 19124-4928
Phone Number
215-533-1333
Fax Number
215-744-4324
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1216 E Hunting Park Ave
City
State
Zip
19124-4928
Phone Number
215-533-1333
Fax Number
215-744-4324
person
Provider Business Mailing Address Details
Address
1216 E Hunting Park Ave
City
State
Zip
19124-4928
Phone Number
215-533-1333
Fax Number
215-744-4324
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
OA005627 (Pennsylvania)
Definition
Definition to come...
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