Dr. Jason W Black
Family Doctor Family Doctor - Geriatric Medicine
6701 N Charles St Ste 4105
Baltimore
, Maryland 21204-6808
Dr. Jason W Black
Family Doctor Family Doctor - Geriatric Medicine
6701 N Charles St Ste 4105
Baltimore
, Maryland 21204-6808
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jason W Black
- Po Box 41895
- Boston, MA
- Zip : 02241-8953
- Phone :
Second Address
- Dr. Jason W Black
- 6701 N Charles St Ste 4105
- Baltimore, MD
- Zip : 21204-6808
- Phone : (443) 849-3184
Reviews
FAQs
Where did Dr. Jason W Black attend graduate school?
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What type of doctor is Dr. Jason W Black
In what state does Dr. Jason W Black practice in?
Where is Dr. Jason W Black ’s practice located?
What is Dr. Jason W Black ’s gender?
Is Dr. Jason W Black a sole practitioner?
Is Dr. Jason W Black accepting new patients?
What languages does Dr. Jason W Black speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | D61199 | MD |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | D61199 | MD |
National Provider Identifier
| NPI | 1245259902 |
|---|---|
| Provider Name | Dr. Jason W Black |
| First Address | Boston, MA 02241-8953 |
| Second Address | Baltimore, MD 21204-6808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 21/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 405540300 | (05) | MD |
| H50685 | (02) | |
| KJ15/64265301 | CAREFIRST MARYLAND GBMC (01) | MD |
| S1380079 | CAREFIRST REGIONAL GBMC (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.