Philip Black, ATC, PA-C
Surgical PA · Danbury, CT
UnclaimedATC, PA-CNPI 1023587094
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2018-11-19
- Practice location
- Danbury, CT
- Last NPPES update
- 2024-08-19
State licenses
- CT · Physician assistant · Physician AssistantActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.