Active NPIIndividual provider

Mara Black

Obstetrics & Gynecology, Maternal & Fetal Medicine in Burlington, Vermont

NPI Number1437656659
Practice location
111 Colchester Ave, Burlington, VT 05401-1473
Fax
—
Last updated
August 10, 2026

Mara Black is an Obstetrics & Gynecology, Maternal & Fetal Medicine based in Burlington, VT. Mara Black practices in Burlington, VT. The NPI Number for Mara Black is 1437656659 and holds a License No. D94025 (MD). The current practice location address for Mara Black is 111 Colchester Ave, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-1400.

Provider Profile Details

NPI Number
1437656659
Provider Name
Mara Black
Provider Entity Type
Individual
Gender
Female
Address
111 Colchester Ave, Burlington, VT 05401-1473
Phone Number
802-847-1400
Sole Proprietor
No
Provider Enumeration Date
April 13, 2018
Last Update Date
August 10, 2026
Certification Date
August 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave
Burlington, VT 05401-1473
State
Vermont
Zip
05401-1473
Phone Number
802-847-1400
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
6201 Greenleigh Ave
Middle River, MD 21220-2004
City
Middle River
State
MD
Zip
21220-2004
Phone Number
410-933-6423

License Information

License Number (1)
D94025
License State (1)
MD
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
042.0040390
License State (2)
VT
Taxonomy (2)
Obstetrics & Gynecology, Maternal & Fetal Medicine · 207VM0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mara Black?

The NPI number of Mara Black is 1437656659. It was assigned on April 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Mara Black?

Mara Black is registered under the primary taxonomy Obstetrics & Gynecology, Maternal & Fetal Medicine (code 207VM0101X), licensed in MD under license number D94025.

Where does Mara Black practice?

The practice location is 111 Colchester Ave, Burlington, VT 05401-1473. The office can be reached at 802-847-1400 (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 1437656659 directly on the NPPES registry website.

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