Brian T Clark, MD
Internal Medicine, Gastroenterology in Stoneham, Massachusetts
1114193612- Practice location
- 51 Montvale Ave, Stoneham, MA 02180-2417
- Phone
- 781-213-5200
- Fax
- 781-481-9016
- Last updated
- January 5, 2016
Brian Thomas Clark is an Internal Medicine, Gastroenterology based in Stoneham, MA. Brian Thomas Clark practices in Stoneham, MA and has the professional credentials of MD. The NPI Number for Brian Thomas Clark is 1114193612 and holds a License No. 49635 (CT). The current practice location address for Brian Thomas Clark is 51 Montvale Ave, Stoneham, MA 02180-2417 and can be reached out via phone at 781-213-5200 and via fax at 781-481-9016.
Provider Profile Details
- NPI Number
- 1114193612
- Provider Name
- Brian Thomas Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 51 Montvale Ave, Stoneham, MA 02180-2417
- Phone Number
- 781-213-5200
- Fax Number
- 781-481-9016
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2008
- Last Update Date
- January 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Montvale Ave
Stoneham, MA 02180-2417 - City
- Stoneham
- State
- Massachusetts
- Zip
- 02180-2417
- Phone Number
- 781-213-5200
- Fax Number
- 781-481-9016
Provider Business Mailing Address Details
- Address
- 51 Montvale Ave
Stoneham, MA 02180-2417 - City
- Stoneham
- State
- MA
- Zip
- 02180-2417
- Phone Number
- 781-213-5200
- Fax Number
- 781-481-9016
License Information
- License Number (1)
- 49635
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 262160
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near Stoneham, MA
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Frequently Asked Questions
What is the NPI number of Brian T Clark, MD?
The NPI number of Brian T Clark, MD is 1114193612. It was assigned on May 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Brian T Clark, MD?
Brian T Clark, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in CT under license number 49635.
Where does Brian T Clark, MD practice?
The practice location is 51 Montvale Ave, Stoneham, MA 02180-2417. The office can be reached at 781-213-5200 (phone) or 781-481-9016 (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 1114193612 directly on the NPPES registry website.