Bruce Charles Black in Wellesley - Psychiatry
Bruce Charles Black - NPI 1770595217
Bruce Charles Black is a Psychiatry in Wellesley, Massachusetts. Bruce Charles Black practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Bruce Charles Black is 1770595217. The last update date is 2010-01-15.
Bruce Charles Black's current location address is 372 Washington St, Wellesley, Massachusetts. You can contact this provider via phone number 7812393550 and fax number 7812393272. The mailing address for Bruce Charles Black is 372 Washington St, Wellesley, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Charles Black |
|---|---|
| Address | 372 Washington St, Wellesley, Massachusetts |
| Phone Number | 7812393550 |
| Fax Number | 7812393272 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770595217 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2010-01-15 |
Provider Mailing Address Detail
| Address | 372 Washington St |
|---|---|
| City | Wellesley |
| State | Massachusetts (MA) |
| Post Code | 24816202 |
| Phone Number | 7812393550 |
| Fax Number | 7812393272 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 53793 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J04142 | MA | BLUE CROSS OF MA | |
| 53793 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the Bruce Charles Black's 1770595217?
The Bruce Charles Black's NPI (National Provider Identifier) Number is 1770595217. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bruce Charles Black is geographically located?
The Bruce Charles Black is physically situated at the following location: 372 Washington St, Wellesley, MA, 24816202.
What is Bruce Charles Black's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Charles Black's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Bruce Charles Black receive the assignment of its 1770595217 from the Centers for Medicare & Medicaid Services?
The Bruce Charles Black was issued its 1770595217 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the details related to Bruce Charles Black most recently updated or revised?
The information pertaining to Bruce Charles Black, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-15.