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Anthony Michael Clark
Vascular Surgery Physician in Newark, New Jersey
NPI 1033614250

Anthony Michael Clark is a Vascular Surgery Physician based in Plantation, NJ and is specialized in Vascular Surgery. Anthony Michael Clark practices in Newark, NJ. The NPI Number for Anthony Michael Clark is 1033614250 and holds a License No. (New Jersey).

The current practice location address for Anthony Michael Clark is 150 Bergen St, Newark, NJ and can be reached out via phone at 973-972-9573.

Location: 150 Bergen St, Newark, NJ, 33322-4920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033614250
Provider Name
Anthony Michael Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Newark, NJ, 33322-4920
Phone Number
973-972-9573
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-9573
Fax Number
person
Provider Business Mailing Address Details
Address
150 Bergen St
City
Newark
State
New Jersey
Zip
07103-2496
Phone Number
973-972-9573
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
25MA11885300 (New Jersey)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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