Provider Demographics
NPI:1598763260
Name:BLACK, MILTON H (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:H
Last Name:BLACK
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 HUNT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2228
Mailing Address - Country:US
Mailing Address - Phone:412-963-8401
Mailing Address - Fax:412-967-1585
Practice Address - Street 1:352 HUNT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2228
Practice Address - Country:US
Practice Address - Phone:412-963-8401
Practice Address - Fax:412-967-1585
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD007786E207L00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine