| Doctor Name: | DR. ANDREW S BLACK |
| NPI Number: | 1073552105 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM, PA |
| License Number: | MD01530 |
| Business Practice Address: | 303 N Main St Woodstown, NJ - 080981308 |
| Business Phone Number: | 8567699400 |
| Business Fax Number: | 8567698291 |
| Mailing Address: | 303 N Main St, WOODSTOWN |
| State: | NJ |
| Postal Code: | 080981308 |
| Phone Number: | 8567699400 |
| Fax Number: | 8567698291 |
| NPI Enumeration Date: | 06/05/2006 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD01530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |