person
Thomas Clark, PA
Medical Physician Assistant in Baltimore, Maryland
NPI 1932142056

Thomas Clark is a Medical Physician Assistant based in Baltimore, MD and is specialized in Medical. Thomas Clark practices in Baltimore, MD and has the professional credentials of PA. The NPI Number for Thomas Clark is 1932142056 and holds a License No. C0000159 (Maryland).

The current practice location address for Thomas Clark is 4924 Campbell Blvd, Baltimore, MD and can be reached out via phone at 443-442-2300.

Location: 4924 Campbell Blvd, Baltimore, MD, 21211-2803
person
Provider Profile Details
NPI Number
1932142056
Provider Name
Thomas Clark
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4924 Campbell Blvd, Baltimore, MD, 21211-2803
Phone Number
443-442-2300
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970011935 01 MD RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4924 Campbell Blvd
City
State
Zip
21236-5908
Phone Number
443-442-2300
Fax Number
person
Provider Business Mailing Address Details
Address
4924 Campbell Blvd
City
State
Zip
21236-5908
Phone Number
443-442-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0000159 (Maryland)
Definition
Definition to come...
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