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Contact Information

CAROLINE O BLACK, MD
EMERGENCY DEPARTMENT
5 PERRYRIDGE ROAD
GREENWICH, CT06830
 Phone: 032-863-3637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CAROLINE O BLACK · (Female)

NPI # 1023351079
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2013
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 79850
  • NJ License # 25MA10612900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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