Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL BLACK JR., PA-C
ActiveMR. CARL BLACK JR., PA-C is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1336723840 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1336723840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2021 (5.3016903298769 yrs)
- Last Updated
- May 11, 2021
- License
-
OA005627 (PA)
Practice Information
- Address
-
1216 E HUNTING PARK AVEPHILADELPHIA, PA, 191244928Browse PA providers · Browse ZIP 19124
- Phone
- 2155331333
- Fax
- 2157444324
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH D. NORRIS | PA-C | 1346247905 |
| ROBERT W ROTHROCK | PA-C | 1508866377 |
| MS. RITA A FOUST | PA-C | 1114906757 |
| MR. GIUSEPPE ANTONIO SCRENCI | MS, PA-C | 1427020643 |
| BRYAN DENNIS BOOTH | PA-C | 1548235179 |
| MR. PAUL HOWELL ROLSTON | M.M.SC., P.A.-C | 1710953203 |
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.