David Lloyd Black, MD | |
110 W Lancaster Ave, Suite 200, Wayne, PA 19087-4043 | |
(610) 293-2229 | |
Not Available |
Full Name | David Lloyd Black |
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Gender | Male |
Speciality | Pediatrics |
Location | 110 W Lancaster Ave, Wayne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003951872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD451803 (Pennsylvania) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902959653 PECOS PAC ID: 9537072483 Enrollment ID: O20040204000144 |
Mailing Address | Practice Location Address |
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David Lloyd Black, MD Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-4200 | David Lloyd Black, MD 110 W Lancaster Ave, Suite 200, Wayne, PA 19087-4043 Ph: (610) 293-2229 |
Dr. Rachel Eryn Bagelman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 E Swedesford Rd, Wayne, PA 19087 Phone: 610-688-5437 | |
Emiliano Tatar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 110 W Lancaster Ave Ste 200, Wayne, PA 19087 Phone: 610-293-2229 Fax: 610-293-2231 | |
Jacalyn S Maller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 E Lancaster Ave, Wayne, PA 19087 Phone: 610-687-3600 Fax: 610-687-1774 | |
Dr. Hilary Field, MB B.CH. M.R.C.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 W Lancaster Ave, Ste 3, Wayne, PA 19087 Phone: 610-293-2229 Fax: 610-293-2231 | |
Dr. Ruth S. Mooreville, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 110 West Lancaster Avenue, Suite 200, Wayne, PA 19087 Phone: 610-293-2229 Fax: 610-293-2231 | |
Harold M Gordon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 E Lancaster Ave, Wayne, PA 19087 Phone: 610-687-3600 Fax: 610-687-1774 |