NPI 1437339900 · live from the CMS NPI Registry
Matthew Roger Black
Emergency Medicine in Cumberland, MD. National Provider Identifier 1437339900, active.
NPI record
| NPI | 1437339900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 12500 Willowbrook Rd, Cumberland, MD 21502 |
| Practice phone | 124-096-4120 |
| Mailing address | 20251 Century Blvd Ste 130, Germantown, MD 20874 |
| Enumerated | November 13, 2007 |
| Last updated | February 15, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 5101015934 (MI) |
| Emergency Medicine | 207P00000X | HOO69899 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.