Cheryl Renee Clark MD, M.S., SD

NPI 1881626042 - Internal Medicine - 207R00000X

NPI Details
NPI 1881626042
Gender Female
Enumeration Date 07/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1620 TREMONT ST
CENTER FOR COMMUNITY HEALTH AND HEALTH EQUITY
ROXBURY CROSSING MA, 02120-1613, US
Phone (617) 732-5759
Fax
Business Location
1620 TREMONT ST
CENTER FOR COMMUNITY HEALTH AND HEALTH EQUITY
ROXBURY CROSSING MA, 02120-1613, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 218079
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According to our database, Dr. Cheryl Renee Clark MD, M.S., SD NPI is 1881626042, taxonomy code is 207R00000X and license number is 218079, license state is located at Massachusetts. Cheryl Renee Clark MD, M.S., SD physically located at 1620 Tremont St, Roxbury Crossing MA, 02120-1613. NPI Number Cheryl Renee Clark MD, M.S., SD has the Individual type.

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1881626042 NPI number is provided on an as is basis without warranty of any kind. 1881626042 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl Renee Clark MD, M.S., SD are for informational purposes only.