Miguel Black

NPI 1659035996 · on the registry since 2021 · sole proprietor

Practice

Address: 5 Laidlaw Ave Apt 105
Jersey City, NJ 07306
Phone: (646) 578-0037
Organisation at this address: County Transit Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 172A00000X
172A00000X
Also registered as: 172A00000X
342000000X
342000000X
343900000X
343900000X
347C00000X
347E00000X
347E00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-22

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 New Jersey