Eric Black, PA-C
Physician Assistant, Medical in Hamden, Connecticut
1962874792- Practice location
- 1650 Dixwell Ave, Hamden, CT 06514-3615
- Phone
- 203-288-1700
- Fax
- —
- Last updated
- October 20, 2015
Eric Black is a Physician Assistant, Medical based in Hamden, CT. Eric Black practices in Hamden, CT and has the professional credentials of PA-C. The NPI Number for Eric Black is 1962874792 and holds a License No. 3462 (CT). The current practice location address for Eric Black is 1650 Dixwell Ave, Hamden, CT 06514-3615 and can be reached out via phone at 203-288-1700.
Provider Profile Details
- NPI Number
- 1962874792
- Provider Name
- Eric Black
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1650 Dixwell Ave, Hamden, CT 06514-3615
- Phone Number
- 203-288-1700
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 20, 2015
- Last Update Date
- October 20, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1650 Dixwell Ave
Hamden, CT 06514-3615 - City
- Hamden
- State
- Connecticut
- Zip
- 06514-3615
- Phone Number
- 203-288-1700
Provider Business Mailing Address Details
- Address
- 204 8TH Ave
Haddon Heights, NJ 08035-1631 - City
- Haddon Heights
- State
- NJ
- Zip
- 08035-1631
- Phone Number
- 609-605-0333
License Information
- License Number
- 3462
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Eric Black, PA-C?
The NPI number of Eric Black, PA-C is 1962874792. It was assigned on October 20, 2015 and is currently active in the NPPES registry.
What is the specialty of Eric Black, PA-C?
Eric Black, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3462.
Where does Eric Black, PA-C practice?
The practice location is 1650 Dixwell Ave, Hamden, CT 06514-3615. The office can be reached at 203-288-1700 (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 1962874792 directly on the NPPES registry website.