Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERROLD G BLACK, MD
ActiveJERROLD G BLACK, MD is a Family Medicine healthcare provider located in WOODBRIDGE, Virginia. NPI 1104833904 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1104833904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.026126973151 yrs)
- Last Updated
- Feb 28, 2011
- License
-
01063821A (IN)
Practice Information
- Address
-
4167 MERCHANT PLZWOODBRIDGE, VA, 221925088Browse VA providers · Browse ZIP 22192
- Phone
- 7038788800
- Fax
- 7038782133
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. PETER ALLAN MENDEL | MD | 1043219629 |
| MRS. PEGGY J BUDNIK | CFNP | 1043219025 |
| DR. MILAN PATEL | D.O. | 1194727719 |
| DR. JOHN JAMES WIERZBICKI | D.O. | 1316932809 |
| DR. ALAN ANDREW JANUSZIEWICZ | MD | 1932181294 |
| DR. CUONG HOANG DO | MD | 1700856333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.