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Christian Alexander Clark
Student in an Organized Health Care Education/Training Program in Edison, New Jersey
NPI 1083324099

Christian Alexander Clark is a Student in an Organized Health Care Education/Training Program based in Highland Park, NJ. Christian Alexander Clark practices in Edison, NJ. The NPI Number for Christian Alexander Clark is 1083324099 and holds a License No. (New Jersey).

The current practice location address for Christian Alexander Clark is 1036 Amboy Ave, Edison, NJ and can be reached out via phone at 732-587-5339.

Location: 1036 Amboy Ave, Edison, NJ, 08904-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083324099
Provider Name
Christian Alexander Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1036 Amboy Ave, Edison, NJ, 08904-2157
Phone Number
732-587-5339
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1036 Amboy Ave
City
Edison
State
New Jersey
Zip
08837-2870
Phone Number
732-587-5339
Fax Number
person
Provider Business Mailing Address Details
Address
1036 Amboy Ave
City
Edison
State
New Jersey
Zip
08837-2870
Phone Number
732-587-5339
Fax Number
person
Provider's Taxonomy Details 1
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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