Mary E Clark, MD
Pathology, Anatomic Pathology & Clinical Pathology in White River Junction, Vermont
1104174846- Practice location
- 163 Veterans Drive, White River Junction, VT 05009-4728
- Phone
- 508-776-8014
- Fax
- —
- Last updated
- September 17, 2021
Mary E Clark is a Pathology, Anatomic Pathology & Clinical Pathology based in White River Junction, VT. Mary E Clark practices in White River Junction, VT and has the professional credentials of MD. The NPI Number for Mary E Clark is 1104174846 and holds a License No. 27610 (NE). The current practice location address for Mary E Clark is 163 Veterans Drive, White River Junction, VT 05009-4728 and can be reached out via phone at 508-776-8014.
Provider Profile Details
- NPI Number
- 1104174846
- Provider Name
- Mary E Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 163 Veterans Drive, White River Junction, VT 05009-4728
- Phone Number
- 508-776-8014
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- Yes
- Other Names
- -- Mary E Hunnewell, MD (Former Name)
- Provider Enumeration Date
- August 28, 2012
- Last Update Date
- September 17, 2021
- Certification Date
- September 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Veterans Drive
White River Junction, VT 05009-4728 - State
- Vermont
- Zip
- 05009-4728
- Phone Number
- 508-776-8014
Provider Business Mailing Address Details
- Address
- 215 N Main St
White River Junction, VT 05009-0001 - City
- White River Junction
- State
- VT
- Zip
- 05009-0001
- Phone Number
- 508-776-8014
License Information
- License Number (1)
- 27610
- License State (1)
- NE
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- LP05113
- License State (2)
- RI
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (3)
- 282335
- License State (3)
- MA
- Taxonomy (3)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pathology, Anatomic Pathology & Clinical Pathology providers near White River Junction, VT
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Frequently Asked Questions
What is the NPI number of Mary E Clark, MD?
The NPI number of Mary E Clark, MD is 1104174846. It was assigned on August 28, 2012 and is currently active in the NPPES registry.
What is the specialty of Mary E Clark, MD?
Mary E Clark, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NE under license number 27610.
Where does Mary E Clark, MD practice?
The practice location is 163 Veterans Drive, White River Junction, VT 05009-4728. The office can be reached at 508-776-8014 (phone).
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 1104174846 directly on the NPPES registry website.