DR. Ellen M Black, M.D.

NPI #1164594735 in Bayonne, New Jersey

Provider Information

NPI Number: 1164594735
Entity Type: Individual
Name: DR. Ellen M Black, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 273 AVENUE A
City: Bayonne
State: New Jersey
ZIP Code: 07002-1367
Phone: (201) 858-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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