Leslie Corcoran Clark NP

NPI 1700938982 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1700938982
Gender Female
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
55 FRUIT ST
ELLISON 11
BOSTON MA, 02114-2621, US
Phone (617) 724-5110
Fax (617) 724-5150
Business Location
55 FRUIT STREET MGH
ELLISON 11
BOSTON MA, 02114, US
Phone (617) 724-5110
Fax (617) 724-5150
Toxanomy
Taxonomy Code 363LA2200X
License State Massachusetts
License Number 154837
Remove 1700938982 NPI Number
 

According to our database, Ms. Leslie Corcoran Clark NP NPI is 1700938982, taxonomy code is 363LA2200X and license number is 154837, license state is located at Massachusetts. Leslie Corcoran Clark NP physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Leslie Corcoran Clark NP has the Individual type.

Sponsored links

1700938982 NPI number is provided on an as is basis without warranty of any kind. 1700938982 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Corcoran Clark NP are for informational purposes only.