Active NPIIndividual provider

Colleen Clark

Veterinarian in Princeton, New Jersey

NPI Number1164852679
Practice location
3975 Princeton Pike, Princeton, NJ 08540-4739
Fax
—
Last updated
November 19, 2013

Colleen Clark is a Veterinarian based in Princeton, NJ. Colleen Clark practices in Princeton, NJ. The NPI Number for Colleen Clark is 1164852679 and holds a License No. 29V100645900 (NJ). The current practice location address for Colleen Clark is 3975 Princeton Pike, Princeton, NJ 08540-4739 and can be reached out via phone at 609-924-2293.

Provider Profile Details

NPI Number
1164852679
Provider Name
Colleen Clark
Provider Entity Type
Individual
Gender
Female
Address
3975 Princeton Pike, Princeton, NJ 08540-4739
Phone Number
609-924-2293
Primary Taxonomy
Veterinarian · 174M00000X
Sole Proprietor
No
Provider Enumeration Date
November 19, 2013
Last Update Date
November 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
3975 Princeton Pike
Princeton, NJ 08540-4739
Zip
08540-4739
Phone Number
609-924-2293
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
3975 Princeton Pike
Princeton, NJ 08540-4739
City
Princeton
State
NJ
Zip
08540-4739

License Information

License Number
29V100645900
License State
NJ
Taxonomy
Veterinarian · 174M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Colleen Clark?

The NPI number of Colleen Clark is 1164852679. It was assigned on November 19, 2013 and is currently active in the NPPES registry.

What is the specialty of Colleen Clark?

Colleen Clark is registered under the primary taxonomy Veterinarian (code 174M00000X), licensed in NJ under license number 29V100645900.

Where does Colleen Clark practice?

The practice location is 3975 Princeton Pike, Princeton, NJ 08540-4739. The office can be reached at 609-924-2293 (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 1164852679 directly on the NPPES registry website.

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