Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL JACOB BLACK, MD, PHD
ActiveSAMUEL JACOB BLACK, MD, PHD is a Student (Health Education/Training) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1124697958 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1124697958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2021 (5.109638627126 yrs)
- Last Updated
- Jun 26, 2021
- Licenses
-
MT222514 (PA)MT222514 (PA)
Practice Information
- Address
-
3322 N BROAD STPHILADELPHIA, PA, 191405185Browse PA providers · Browse ZIP 19140
- Phone
- 2157071800
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL FOO | M.D. | 1649482985 |
| DR. JONATHAN MICHAEL WERT | M.D. | 1356553689 |
| DR. NARATHIP CHUNHAMANEEWAT | M.D. | 1194930529 |
| KRISZTIAN KAPINYA | M.D. | 1679788285 |
| DR. JIMMY CHEN | DMD | 1083820450 |
| DR. RACHEL SHARON KOHL | DDS | 1467669093 |
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.