Christopher S Clark PA

NPI 1528392313 - Physician Assistant - 363A00000X

NPI Details
NPI 1528392313
Gender Male
Enumeration Date 09/25/2009
Last Updated 09/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
55 FRUIT ST
BOSTON MA, 02114-2621, US
Phone (617) 726-2000
Fax
Business Location
55 FRUIT ST
BOSTON MA, 02114-2621, US
Phone (617) 726-2000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number PA3873
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According to our database, Christopher S Clark PA NPI is 1528392313, taxonomy code is 363A00000X and license number is PA3873, license state is located at Massachusetts. Christopher S Clark PA physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Christopher S Clark PA has the Individual type.

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1528392313 NPI number is provided on an as is basis without warranty of any kind. 1528392313 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher S Clark PA are for informational purposes only.