Black, Mara

Black, Mara is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Black, Mara can be contacted via phone (802) 847-1400.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D94025 Maryland
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 042.0040390 Vermont

Profile Details

NPI number 1437656659
LBN Legal business name Black, Mara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2018
Last updated Aug 10th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers