Active NPIIndividual provider

Dr. Cheryl R Clark, MD, MS, SD

Internal Medicine in Roxbury Crossing, Massachusetts

NPI Number1881626042
Practice location
1620 Tremont St, Center For Community Health And Health Equity, Roxbury Crossing, MA 02120-1613
Fax
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Last updated
July 8, 2007

Cheryl Renee Clark is an Internal Medicine based in Roxbury Crossing, MA. Cheryl Renee Clark practices in Roxbury Crossing, MA and has the professional credentials of MD, MS, SD. The NPI Number for Cheryl Renee Clark is 1881626042 and holds a License No. 218079 (MA). The current practice location address for Cheryl Renee Clark is 1620 Tremont St, Center For Community Health And Health Equity, Roxbury Crossing, MA 02120-1613 and can be reached out via phone at 617-732-5759.

Provider Profile Details

NPI Number
1881626042
Provider Name
Cheryl Renee Clark
Credential
MD, MS, SD
Provider Entity Type
Individual
Gender
Female
Address
1620 Tremont St, Center For Community Health And Health Equity, Roxbury Crossing, MA 02120-1613
Phone Number
617-732-5759
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1620 Tremont St
Center For Community Health And Health Equity
Roxbury Crossing, MA 02120-1613
Zip
02120-1613
Phone Number
617-732-5759
Roxbury Crossing, MA 02120Get directions →

Provider Business Mailing Address Details

Address
1620 Tremont St
Center For Community Health And Health Equity
Roxbury Crossing, MA 02120-1613
City
Roxbury Crossing
State
MA
Zip
02120-1613

License Information

License Number
218079
License State
MA
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. Cheryl R Clark, MD, MS, SD?

The NPI number of Dr. Cheryl R Clark, MD, MS, SD is 1881626042. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Cheryl R Clark, MD, MS, SD?

Dr. Cheryl R Clark, MD, MS, SD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 218079.

Where does Dr. Cheryl R Clark, MD, MS, SD practice?

The practice location is 1620 Tremont St, Center For Community Health And Health Equity, Roxbury Crossing, MA 02120-1613. The office can be reached at 617-732-5759 (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 1881626042 directly on the NPPES registry website.

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