Alan B. Clark M.d, P.a.
Specialist in East Orange, New Jersey
1235318387- Practice location
- 185 Central Ave, Suite#611, East Orange, NJ 07018-3332
- Phone
- 973-678-5607
- Fax
- 973-678-6319
- Last updated
- March 5, 2009
Alan B. Clark M.d, P.a. is a healthcare organization based in East Orange, NJ. Alan B. Clark M.d, P.a. practices in East Orange, NJ. The NPI Number for Alan B. Clark M.d, P.a. is 1235318387 and holds a License No. MA56498 (NJ). The current practice location address for Alan B. Clark M.d, P.a. is 185 Central Ave, Suite#611, East Orange, NJ 07018-3332 and can be reached out via phone at 973-678-5607 and via fax at 973-678-6319.
Provider Profile Details
- NPI Number
- 1235318387
- Provider Name
- Alan B. Clark M.d, P.a.
- Provider Entity Type
- Organization
- Address
- 185 Central Ave, Suite#611, East Orange, NJ 07018-3332
- Phone Number
- 973-678-5607
- Fax Number
- 973-678-6319
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- Yes
- Parent Organization
- Alan B. Clark
- Authorized Official
- Dr. Alan Butler Clark, MD, PA · Neurologist · 973-678-5607
- Other Names
- Ruth L. Clark (Other Name)
- Provider Enumeration Date
- October 25, 2007
- Last Update Date
- March 5, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Central Ave
Suite#611
East Orange, NJ 07018-3332 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3332
- Phone Number
- 973-678-5607
- Fax Number
- 973-678-6319
Provider Business Mailing Address Details
- Address
- 310 Central Ave
Suite#303
East Orange, NJ 07018-2835 - City
- East Orange
- State
- NJ
- Zip
- 07018-2835
- Phone Number
- 973-678-5607
- Fax Number
- 973-678-6319
License Information
- License Number (1)
- MA56498
- License State (1)
- NJ
- Taxonomy (1)
- General Acute Care Hospital · 282N00000X
- License Number (2)
- MA20681
- License State (2)
- NJ
- Taxonomy (2)
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Alan B. Clark M.d, P.a.?
The NPI number of Alan B. Clark M.d, P.a. is 1235318387. It was assigned on October 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Alan B. Clark M.d, P.a.?
Alan B. Clark M.d, P.a. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA56498.
Where does Alan B. Clark M.d, P.a. practice?
The practice location is 185 Central Ave, Suite#611, East Orange, NJ 07018-3332. The office can be reached at 973-678-5607 (phone) or 973-678-6319 (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 1235318387 directly on the NPPES registry website.