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Edgardo Clark
Non-emergency Medical Transport (VAN) in Randolph, Massachusetts
NPI 1063194561

Edgardo Clark is a Non-emergency Medical Transport (VAN) based in Randolph, MA. Edgardo Clark practices in Randolph, MA. The NPI Number for Edgardo Clark is 1063194561 and holds a License No. S37922805 (Massachusetts).

The current practice location address for Edgardo Clark is 24 Himoor Cir, Randolph, MA and can be reached out via phone at 508-243-4379.

Location: 24 Himoor Cir, Randolph, MA, 02368-2429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063194561
Provider Name
Edgardo Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
24 Himoor Cir, Randolph, MA, 02368-2429
Phone Number
508-243-4379
Fax Number
Provider Enumeration Date
08/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Himoor Cir
City
Randolph
State
Massachusetts
Zip
02368-2429
Phone Number
508-243-4379
Fax Number
person
Provider Business Mailing Address Details
Address
24 Himoor Cir
City
Randolph
State
Massachusetts
Zip
02368-2429
Phone Number
508-243-4379
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
S37922805 (Massachusetts)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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