Dr. Mitchell B Clark, MD
Obstetrics & Gynecology, Gynecologic Oncology in New Haven, Connecticut
1669817854- Practice location
- 333 Cedar St., Yale Medical School, New Haven, CT 06510
- Phone
- 203-833-0281
- Fax
- —
- Last updated
- April 9, 2020
Mitchell Brent Clark is an Obstetrics & Gynecology, Gynecologic Oncology based in New Haven, CT. Mitchell Brent Clark practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mitchell Brent Clark is 1669817854 and holds a License No. 65152 (CT). The current practice location address for Mitchell Brent Clark is 333 Cedar St., Yale Medical School, New Haven, CT 06510 and can be reached out via phone at 203-833-0281.
Provider Profile Details
- NPI Number
- 1669817854
- Provider Name
- Mitchell Brent Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 333 Cedar St., Yale Medical School, New Haven, CT 06510
- Phone Number
- 203-833-0281
- Primary Taxonomy
- Obstetrics & Gynecology, Gynecologic Oncology · 207VX0201X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2013
- Last Update Date
- April 9, 2020
- Certification Date
- April 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Cedar St.
Yale Medical School
New Haven, CT 06510 - City
- New Haven
- State
- Connecticut
- Zip
- 06510
- Phone Number
- 203-833-0281
Provider Business Mailing Address Details
- Address
- 333 Cedar St.
Yale Medical School
New Haven, CT 06510 - City
- New Haven
- State
- CT
- Zip
- 06510
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 65152
- License State (2)
- CT
- Taxonomy (2)
- Obstetrics & Gynecology, Gynecologic Oncology · 207VX0201X · 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 Dr. Mitchell B Clark, MD?
The NPI number of Dr. Mitchell B Clark, MD is 1669817854. It was assigned on May 2, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Mitchell B Clark, MD?
Dr. Mitchell B Clark, MD is registered under the primary taxonomy Obstetrics & Gynecology, Gynecologic Oncology (code 207VX0201X), licensed in CT under license number 65152.
Where does Dr. Mitchell B Clark, MD practice?
The practice location is 333 Cedar St., Yale Medical School, New Haven, CT 06510. The office can be reached at 203-833-0281 (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 1669817854 directly on the NPPES registry website.