NPI 1235318387 · live from the CMS NPI Registry
Alan B. Clark M.D, P.A.
Specialist in East Orange, NJ. National Provider Identifier 1235318387, active.
NPI record
| NPI | 1235318387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 185 Central Ave, Suite#611, East Orange, NJ 07018 |
| Practice phone | 973-678-5607 |
| Mailing address | 310 Central Ave, Suite#303, East Orange, NJ 07018 |
| Enumerated | October 25, 2007 |
| Last updated | March 5, 2009 |
| Authorized official | Alan Clark, Neurologist |
| Other names | Ruth L. Clark |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | MA56498 (NJ) |
| Specialist primary | 174400000X | MA20681 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.