Clark Van Den Berghe, MD
Family Medicine in Lynn, Massachusetts
1053752675- Practice location
- 269 Union St, Lynn, MA 01901-1314
- Phone
- 781-596-2502
- Fax
- 781-596-3966
- Last updated
- July 21, 2022
Clark Van Den Berghe is a Family Medicine based in Lynn, MA. Clark Van Den Berghe practices in Lynn, MA and has the professional credentials of MD. The NPI Number for Clark Van Den Berghe is 1053752675 and holds a License No. 256393 (MA). The current practice location address for Clark Van Den Berghe is 269 Union St, Lynn, MA 01901-1314 and can be reached out via phone at 781-596-2502 and via fax at 781-596-3966.
Provider Profile Details
- NPI Number
- 1053752675
- Provider Name
- Clark Van Den Berghe
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 269 Union St, Lynn, MA 01901-1314
- Phone Number
- 781-596-2502
- Fax Number
- 781-596-3966
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2013
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 269 Union St
Lynn, MA 01901-1314 - City
- Lynn
- State
- Massachusetts
- Zip
- 01901-1314
- Phone Number
- 781-596-2502
- Fax Number
- 781-596-3966
Provider Business Mailing Address Details
- Address
- 269 Union St
Lynn, MA 01901-1314 - City
- Lynn
- State
- MA
- Zip
- 01901-1314
- Phone Number
- 781-581-3900
- Fax Number
- 781-598-1050
License Information
- License Number
- 256393
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clark Van Den Berghe, MD?
The NPI number of Clark Van Den Berghe, MD is 1053752675. It was assigned on July 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Clark Van Den Berghe, MD?
Clark Van Den Berghe, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 256393.
Where does Clark Van Den Berghe, MD practice?
The practice location is 269 Union St, Lynn, MA 01901-1314. The office can be reached at 781-596-2502 (phone) or 781-596-3966 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053752675 directly on the NPPES registry website.