Dr GLENN R BLACK is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1973 from Ohio State University College Of Medicine.
103 5TH ST SE
SUITE S
BARBERTON
OH
442034256
Tel:
| Npi | 1700860970 |
| Pac Id | 4183740640 |
| Professional Enrollment Id | I20100922000535 |
| Last Name | BLACK |
| First Name | GLENN |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 103 5TH ST SE |
| Line 2 Street Address | SUITE S |
| Marker Of Address Line 2 Suppression | |
| City | BARBERTON |
| State | OH |
| Zip Code | 442034256 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 360027 |
| Hospital Affiliation Lbn 1 | AKRON GENERAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 360020 |
| Hospital Affiliation Lbn 2 | SUMMA HEALTH SYSTEM |
| Hospital Affiliation Ccn 3 | 360036 |
| Hospital Affiliation Lbn 3 | WOOSTER COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 4 | 360070 |
| Hospital Affiliation Lbn 4 | MERCY MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 360091 |
| Hospital Affiliation Lbn 5 | MEDINA HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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