SearchConnecticut104100000X

David Black

NPI 1477349520 · on the registry since 2025

Practice

Address
153 Hazard Ave
Enfield, CT 06082
Phone
(877) 884-3571
Fax
(890) 731-5536
Organisation at this address
Genoa Healthcare Llc
Pursuing Metamorphosis Llc
Community Health Resources, Inc
Community Health Resources, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2025-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut