Active NPIIndividual provider

Cori Clark, DO

Pathology, Anatomic Pathology & Clinical Pathology in Farmington, Connecticut

NPI Number1629538798
Practice location
11 Shuttle RD, Farmington, CT 06032-1900
Fax
—
Last updated
August 11, 2025

Cori Clark is a Pathology, Anatomic Pathology & Clinical Pathology based in Farmington, CT. Cori Clark practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Cori Clark is 1629538798 and holds a License No. 75730 (CT). The current practice location address for Cori Clark is 11 Shuttle RD, Farmington, CT 06032-1900 and can be reached out via phone at 860-679-3980.

Provider Profile Details

NPI Number
1629538798
Provider Name
Cori Clark
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11 Shuttle RD, Farmington, CT 06032-1900
Phone Number
860-679-3980
Sole Proprietor
No
Provider Enumeration Date
March 23, 2019
Last Update Date
August 11, 2025
Certification Date
August 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Shuttle RD
Farmington, CT 06032-1900
Zip
06032-1900
Phone Number
860-679-3980
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
11 Shuttle RD
Farmington, CT 06032-1900
City
Farmington
State
CT
Zip
06032-1900

License Information

License Number (2)
75730
License State (2)
CT
Taxonomy (2)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · 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 Cori Clark, DO?

The NPI number of Cori Clark, DO is 1629538798. It was assigned on March 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Cori Clark, DO?

Cori Clark, DO is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 75730.

Where does Cori Clark, DO practice?

The practice location is 11 Shuttle RD, Farmington, CT 06032-1900. The office can be reached at 860-679-3980 (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 1629538798 directly on the NPPES registry website.

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