NPI Search for Physicians and Health Care Providers
DR. TERESA BLACK M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1376612507
Individual Registrant:
DR. TERESA BLACK M.D.
Gender: F
Not Sole Proprietor
Location and contact information for practice:
250 BON AIR RD GREENBRAE, CA 94904-1702 US
Tel: 415-448-1500 Fax: 415-892-8732
Contact information for business:
300 PROFESSIONAL CENTER DR SUITE 311 NOVATO, CA 94947-4334 US
Tel: 415-448-1555 Fax: 415-892-8732
Registration Information:
NPI: 1376612507
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine
| CA | G65715 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1