NPI 1942559463

Thomas Robert Black, ACSMRCEP

Practitioner Clinical Exercise Physiologist East Longmeadow, MA

Practice location

Address: 168 Denslow Rd, East Longmeadow, MA 01028-3188
Phone: (413) 526-9945

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1942559463
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2012
Record last updated: 30 Aug 2012

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.