Susannah J Clark, PA-C
Physician Assistant in Lowell, Massachusetts
1770805202- Practice location
- 275 Varnum Ave Ste 203, Lowell, MA 01854-2109
- Phone
- 978-458-4300
- Fax
- 978-458-4311
- Last updated
- March 7, 2025
Susannah J. Clark is a Physician Assistant based in Lowell, MA. Susannah J. Clark practices in Lowell, MA and has the professional credentials of PA-C. The NPI Number for Susannah J. Clark is 1770805202 and holds a License No. PA3930 (MA). The current practice location address for Susannah J. Clark is 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 and can be reached out via phone at 978-458-4300 and via fax at 978-458-4311.
Provider Profile Details
- NPI Number
- 1770805202
- Provider Name
- Susannah J. Clark
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 275 Varnum Ave Ste 203, Lowell, MA 01854-2109
- Phone Number
- 978-458-4300
- Fax Number
- 978-458-4311
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 25, 2010
- Last Update Date
- March 7, 2025
- Certification Date
- March 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 275 Varnum Ave Ste 203
Lowell, MA 01854-2109 - City
- Lowell
- State
- Massachusetts
- Zip
- 01854-2109
- Phone Number
- 978-458-4300
- Fax Number
- 978-458-4311
Provider Business Mailing Address Details
- Address
- 275 Varnum Ave Ste 203
Lowell, MA 01854-2109 - City
- Lowell
- State
- MA
- Zip
- 01854-2109
- Phone Number
- 978-458-4300
- Fax Number
- 978-458-4311
License Information
- License Number
- PA3930
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · 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 Susannah J Clark, PA-C?
The NPI number of Susannah J Clark, PA-C is 1770805202. It was assigned on February 25, 2010 and is currently active in the NPPES registry.
What is the specialty of Susannah J Clark, PA-C?
Susannah J Clark, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA3930.
Where does Susannah J Clark, PA-C practice?
The practice location is 275 Varnum Ave Ste 203, Lowell, MA 01854-2109. The office can be reached at 978-458-4300 (phone) or 978-458-4311 (fax).
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 1770805202 directly on the NPPES registry website.