Dr IAN H BLACK is a male medical professional, specializing in Anesthesiology. He graduated in 2003 from Pennsylvania State University College Of Medicine.
CLINICAL COLLEAGUES INC
133 FAIRFIELD ST
SAINT ALBANS
VT
054781726
Tel: 8025242911
| Npi | 1134110109 |
| Pac Id | 0345312146 |
| Professional Enrollment Id | I20080711000056 |
| Last Name | BLACK |
| First Name | IAN |
| Middle Name | H |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERVENTIONAL PAIN MANAGEMENT |
| Organization Legal Name | CLINICAL COLLEAGUES INC |
| Group Practice Pac Id | 8729011333 |
| Number Of Group Practice Members | 163 |
| Line 1 Street Address | 133 FAIRFIELD ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 054781726 |
| Phone Number | 8025242911 |
| Hospital Affiliation Ccn 1 | 470024 |
| Hospital Affiliation Lbn 1 | NORTHWESTERN MEDICAL CENTER INC |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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