NPI 1023587094

Philip Black, ATCPAC

Practitioner Surgical Physician Assistant Danbury, CT

Practice location

Address: 2 Riverview Dr, Danbury, CT 06810-6268
Phone: (203) 797-1500

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 4359 (CT)

Other Physician Assistant providers in Connecticut →

Registry record

NPI: 1023587094
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2018
Record last updated: 19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.