| Douglas J Black Md Llc | |
|
875 Greenland Rd Suite B4 Portsmouth NH 03801 | |
| (603) 427-2577 | |
| (603) 427-0048 |
| Full Name | Douglas J Black Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 875 Greenland Rd, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Douglas J Black Md Llc (OWNER) |
| Authorized Official Contact | 6034272577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas J Black Md Llc 875 Greenland Rd Suite B4 Portsmouth NH 03801 Ph: (603) 427-2577 | Douglas J Black Md Llc 875 Greenland Rd Suite B4 Portsmouth NH 03801 Ph: (603) 427-2577 |
| NPI Number | 1134435613 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134435613 | NPI | - | NPPES |
| 30200730 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 10894 (New Hampshire) | Primary |
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