Deborah Black, M.D.
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Danbury, CT
NPI 1285641845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285641845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 030416 (CT)
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6099 - Phone
- (203) 797-7100
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 030416 | CT | Yes |
Addresses
Primary practice location
24 Hospital Ave
Danbury, CT 06810-6099
Mailing address
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 797-7100
Other providers in Danbury, CT
- Jeanne Bielawa
- Maureen O'Neill Biggs
- Tanya Billstone
- Biometric Diagnostics, LLC
- Kimberly Marie Bjelland
- Philip Black
- Blake I Winokur DMD P.C.
- Barbara S Blanco
- Kenneth Paul Blau
- Dov Bloch
All providers in Danbury, CT · Emergency Medical Services (Emergency Medicine) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.