Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD 016868E | PA |
NPI | 1073508958 |
---|---|
Provider Name | Dr. Judith S Black |
First Address | Pittsburgh, PA 15238-2228 |
Second Address | Pittsburgh, PA 15224-1778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 09/10/2020 |