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Contact Information

MIGUEL BLACK
5 LAIDLAW AVE APT 105
JERSEY CITY, NJ07306-1550
 Phone: 646-578-0037
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for MIGUEL BLACK · (Male)

NPI # 1659035996
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2021
Last updated 10/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # B50095470001842
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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