Jerrold G Black MD

  • NPI 1104833904
According to our database, the NPI number for Jerrold G Black MD is 1104833904 and activated since 17 years ago. Jerrold G Black MD is an individual provider who specializes in Family Medicine, and the primary practice location is 4167 Merchant Plz, Woodbridge, VA 22192. You can also contact Jerrold G Black MD via telephone number is (703) 878-8800. Provider NPI information was last updated on 02/28/2011.

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Overview of Jerrold G Black MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/02/2006
  • Last updated: 02/28/2011

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01063821A
  • License State: IN

Provider Mailing Address

  • Address: 4167 Merchant Plz
    Woodbridge, VA 22192
  • Phone: 703-878-8800
  • Fax: 703-878-2133

Provider Practice Location

  • Address: 4167 Merchant Plz
    Woodbridge, VA 22192
  • Phone: 703-878-8800
  • Fax: 703-878-2133

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01063821A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1104833904
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: VA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerrold G Black MD?
  • A: The npi number for Jerrold G Black MD is 1104833904.
  • Q: What are Jerrold G Black MD's specialties?
  • A: Jerrold G Black MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jerrold G Black MD?
  • A: The medical license number for Jerrold G Black MD is 01063821A and issued in IN in USA.
  • Q: Where is Jerrold G Black MD practice location?
  • A: Jerrold G Black MD is practicing at 4167 Merchant Plz, Woodbridge, VA 22192.
  • Q: How to contact Jerrold G Black MD?
  • A: You can contact Jerrold G Black MD via 703-878-8800.