Active NPIIndividual provider

Dr. Susannah T Clark, MD

Internal Medicine in Lebanon, New Hampshire

NPI Number1780697334
Practice location
1 Medical Center Dr, Dhmc Department Of General Internal Medicine, Lebanon, NH 03756-1000
Fax
—
Last updated
November 4, 2014

Susannah Taylor Clark is an Internal Medicine based in Lebanon, NH. Susannah Taylor Clark practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Susannah Taylor Clark is 1780697334 and holds a License No. 12781 (NH). The current practice location address for Susannah Taylor Clark is 1 Medical Center Dr, Dhmc Department Of General Internal Medicine, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5000.

Provider Profile Details

NPI Number
1780697334
Provider Name
Susannah Taylor Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Dhmc Department Of General Internal Medicine, Lebanon, NH 03756-1000
Phone Number
603-650-5000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Other Names
-- Susannah Cord Taylor (Former Name)
Provider Enumeration Date
August 14, 2006
Last Update Date
November 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Dhmc Department Of General Internal Medicine
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-5000
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Dhmc - Department Of General Internal Medicine
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-650-5000

License Information

License Number
12781
License State
NH
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Susannah T Clark, MD?

The NPI number of Dr. Susannah T Clark, MD is 1780697334. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Susannah T Clark, MD?

Dr. Susannah T Clark, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NH under license number 12781.

Where does Dr. Susannah T Clark, MD practice?

The practice location is 1 Medical Center Dr, Dhmc Department Of General Internal Medicine, Lebanon, NH 03756-1000. The office can be reached at 603-650-5000 (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 1780697334 directly on the NPPES registry website.

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