Active NPIIndividual providerSole proprietor

Seth Clark

Internal Medicine, Addiction Medicine in Providence, Rhode Island

NPI Number1801208798
Practice location
200 Corliss St, Providence, RI 02904
Fax
401-606-8549
Last updated
June 24, 2025

Seth Clark is an Internal Medicine, Addiction Medicine based in Providence, RI. Seth Clark practices in Providence, RI. The NPI Number for Seth Clark is 1801208798 and holds a License No. MD15837 (RI). The current practice location address for Seth Clark is 200 Corliss St, Providence, RI 02904 and can be reached out via phone at 401-606-8530 and via fax at 401-606-8549.

Provider Profile Details

NPI Number
1801208798
Provider Name
Seth Clark
Provider Entity Type
Individual
Gender
Male
Address
200 Corliss St, Providence, RI 02904
Phone Number
401-606-8530
Fax Number
401-606-8549
Primary Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2014
Last Update Date
June 24, 2025
Certification Date
June 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Corliss St
Providence, RI 02904
Zip
02904
Phone Number
401-606-8530
Fax Number
401-606-8549
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
City
Providence
State
RI
Zip
02905-4513
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number (1)
MD15837
License State (1)
RI
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
MD15837
License State (2)
RI
Taxonomy (2)
Internal Medicine, Addiction Medicine · 207RA0401X · 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 Seth Clark?

The NPI number of Seth Clark is 1801208798. It was assigned on May 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Seth Clark?

Seth Clark is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in RI under license number MD15837.

Where does Seth Clark practice?

The practice location is 200 Corliss St, Providence, RI 02904. The office can be reached at 401-606-8530 (phone) or 401-606-8549 (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 1801208798 directly on the NPPES registry website.

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