Active NPIIndividual provider

Jacob A Clark, MD

Anesthesiology in Burlington, Massachusetts

NPI Number1871735167
Practice location
41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Fax
781-744-2273
Last updated
November 12, 2024

Jacob Andrew Clark is an Anesthesiology based in Burlington, MA. Jacob Andrew Clark practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Jacob Andrew Clark is 1871735167 and holds a License No. 254625 (MA). The current practice location address for Jacob Andrew Clark is 41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8514 and via fax at 781-744-2273.

Provider Profile Details

NPI Number
1871735167
Provider Name
Jacob Andrew Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Phone Number
781-744-8514
Fax Number
781-744-2273
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2009
Last Update Date
November 12, 2024
Certification Date
November 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8514
Fax Number
781-744-2273
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8514
Fax Number
781-744-2273

License Information

License Number (2)
254625
License State (2)
MA
Taxonomy (2)
Anesthesiology · 207L00000X · 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 Jacob A Clark, MD?

The NPI number of Jacob A Clark, MD is 1871735167. It was assigned on April 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Jacob A Clark, MD?

Jacob A Clark, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in MA under license number 254625.

Where does Jacob A Clark, MD practice?

The practice location is 41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001. The office can be reached at 781-744-8514 (phone) or 781-744-2273 (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 1871735167 directly on the NPPES registry website.

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