Active NPIIndividual provider

Mary E Black

Pediatrics, Neonatal-Perinatal Medicine in Bangor, Maine

NPI Number1447264494
Practice location
489 State St, Bangor, ME 04401-6616
Fax
—
Last updated
June 11, 2015

Mary Elizabeth Black is a Pediatrics, Neonatal-Perinatal Medicine based in Bangor, ME. Mary Elizabeth Black practices in Bangor, ME. The NPI Number for Mary Elizabeth Black is 1447264494 and holds a License No. 12141 (ME). The current practice location address for Mary Elizabeth Black is 489 State St, Bangor, ME 04401-6616 and can be reached out via phone at 207-973-8670.

Provider Profile Details

NPI Number
1447264494
Provider Name
Mary Elizabeth Black
Provider Entity Type
Individual
Gender
Female
Address
489 State St, Bangor, ME 04401-6616
Phone Number
207-973-8670
Primary Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
Sole Proprietor
No
Other Names
-- Mary Elizabeth Connolly, MD (Professional Name)
Provider Enumeration Date
July 27, 2006
Last Update Date
June 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 State St
Bangor, ME 04401-6616
City
Bangor
State
Maine
Zip
04401-6616
Phone Number
207-973-8670
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
186 Northport Ave
Belfast, ME 04915-6073
City
Belfast
State
ME
Zip
04915-6073
Phone Number
207-338-2010

License Information

License Number
12141
License State
ME
Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics, Neonatal-Perinatal Medicine providers near Bangor, ME

View all Pediatrics, Neonatal-Perinatal Medicine providers in Bangor →

Frequently Asked Questions

What is the NPI number of Mary E Black?

The NPI number of Mary E Black is 1447264494. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary E Black?

Mary E Black is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in ME under license number 12141.

Where does Mary E Black practice?

The practice location is 489 State St, Bangor, ME 04401-6616. The office can be reached at 207-973-8670 (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 1447264494 directly on the NPPES registry website.

Browse related providers