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Dr. Alan B. Clark, MD
Addiction Medicine (Psychiatry & Neurology) Physician in East Orange, New Jersey
NPI 1366500712

Alan B. Clark is an Addiction Medicine (Psychiatry & Neurology) Physician based in East Orange, NJ and is specialized in Addiction Medicine. Alan B. Clark practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Alan B. Clark is 1366500712 and holds a License No. MA20681 (New Jersey).

The current practice location address for Alan B. Clark is 240 Central Ave, East Orange, NJ and can be reached out via phone at 973-674-3500 and via fax at 973-678-6319.

Location: 240 Central Ave, East Orange, NJ, 07018-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366500712
Provider Name
Alan B. Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 Central Ave, East Orange, NJ, 07018-3313
Phone Number
973-674-3500
Fax Number
973-678-6319
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280330501 01 NJ MEDICAID GROUP
5069505 05 NJ
135853 01 NJ MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
240 Central Ave
City
East Orange
State
New Jersey
Zip
07018-3313
Phone Number
973-674-3500
Fax Number
973-678-6319
person
Provider Business Mailing Address Details
Address
240 Central Ave
City
East Orange
State
New Jersey
Zip
07018-3313
Phone Number
973-674-3500
Fax Number
973-678-6319
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
MA20681 (New Jersey)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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