Colleen R Clark
Student in an Organized Health Care Education/Training Program in East Orange, New Jersey
1265315683- Practice location
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone
- 973-676-1000
- Fax
- —
- Last updated
- July 31, 2025
Colleen Rose Clark is a Student in an Organized Health Care Education/Training Program based in East Orange, NJ. Colleen Rose Clark practices in East Orange, NJ. The NPI Number for Colleen Rose Clark is 1265315683. The current practice location address for Colleen Rose Clark is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.
Provider Profile Details
- NPI Number
- 1265315683
- Provider Name
- Colleen Rose Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Tremont Ave, East Orange, NJ 07018-1023
- Phone Number
- 973-676-1000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 31, 2025
- Last Update Date
- July 31, 2025
- Certification Date
- July 31, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Tremont Ave
East Orange, NJ 07018-1023 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1023
- Phone Number
- 973-676-1000
Provider Business Mailing Address Details
- Address
- 39 Bosworth St
Staten Island, NY 10310-2809 - City
- Staten Island
- State
- NY
- Zip
- 10310-2809
- Phone Number
- 718-737-8927
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · 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 Colleen R Clark?
The NPI number of Colleen R Clark is 1265315683. It was assigned on July 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Colleen R Clark?
Colleen R Clark is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Colleen R Clark practice?
The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (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 1265315683 directly on the NPPES registry website.