Dr. Jason Bruce Black, D.O.
Emergency Medicine in Bethlehem, PA. Individual provider (NPI-1).
NPI number1982017232
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1982017232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Bruce Black
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2014
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 007628 | AZ | Yes |
| 207P00000X | Emergency Medicine | OS017853 | PA |
Practice location
801 Ostrum StBethlehem, PA 18015-1000
Phone 814-806-8450
Mailing address
1070 Hill DrAllentown, PA 18103-6140
Phone 814-806-8450
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