Active NPIIndividual providerSole proprietor

Allison C Clack, MD

Pediatrics in S Weymouth, Massachusetts

NPI Number1528646783
Practice location
55 Fogg RD, S Weymouth, MA 02190-2432
Fax
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Last updated
June 20, 2024

Allison C Clack is a Pediatrics based in S Weymouth, MA. Allison C Clack practices in S Weymouth, MA and has the professional credentials of MD. The NPI Number for Allison C Clack is 1528646783 and holds a License No. 1019548 (MA). The current practice location address for Allison C Clack is 55 Fogg RD, S Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1528646783
Provider Name
Allison C Clack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, S Weymouth, MA 02190-2432
Phone Number
781-624-8000
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2021
Last Update Date
June 20, 2024
Certification Date
June 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
S Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
S Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
55 Fogg RD
S Weymouth, MA 02190-2432
City
S Weymouth
State
MA
Zip
02190-2432
Phone Number
781-624-8000

License Information

License Number (2)
1019548
License State (2)
MA
Taxonomy (2)
Pediatrics · 208000000X · 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 Allison C Clack, MD?

The NPI number of Allison C Clack, MD is 1528646783. It was assigned on March 30, 2021 and is currently active in the NPPES registry.

What is the specialty of Allison C Clack, MD?

Allison C Clack, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 1019548.

Where does Allison C Clack, MD practice?

The practice location is 55 Fogg RD, S Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (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 1528646783 directly on the NPPES registry website.

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