Matthew Roger Black

NPI 1437339900 - Emergency Medicine - 207P00000X

NPI Details
NPI 1437339900
Gender Male
Enumeration Date 11/13/2007
Last Updated 02/15/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
12500 WILLOWBROOK RD
CUMBERLAND MD, 21502-6393, US
Phone (124) 096-4120
Fax
Business Location
20251 CENTURY BLVD STE 130
GERMANTOWN MD, 20874-1199, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Maryland
License Number HOO69899
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According to our database, Dr. Matthew Roger Black NPI is 1437339900, taxonomy code is 207P00000X and license number is HOO69899, license state is located at Maryland. Matthew Roger Black physically located at 12500 Willowbrook Rd, Cumberland MD, 21502-6393. NPI Number Matthew Roger Black has the Individual type.

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1437339900 NPI number is provided on an as is basis without warranty of any kind. 1437339900 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Roger Black are for informational purposes only.