Internal Medicine
LAURA BLACK M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124388129 · enumerated 2012-05-23 · record updated 2018-05-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: LAURA DEPOULI
Addresses and phones
- Mailing address 17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI, 02905-4406 (401) 443-4992 Fax (401) 784-4902 Google Maps Apple Maps OpenStreetMap
- Practice location 336 N MAIN ST, WEST HARTFORD, CT, 06117 (860) 232-4891 Fax (860) 236-1016 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License MD14897 RI
In this directory
Locations and evidence
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Practice location
WEST HARTFORD, CT, 06117
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.