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Nisse Virginia Clark, MD
Gynecology Physician in Boston, Massachusetts
NPI 1982967105

Nisse Virginia Clark is a Gynecology Physician based in Boston, MA and is specialized in Gynecology. Nisse Virginia Clark practices in Boston, MA and has the professional credentials of MD. The NPI Number for Nisse Virginia Clark is 1982967105 and holds a License No. 252130 (Massachusetts).

The current practice location address for Nisse Virginia Clark is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-6850.

Location: 55 Fruit St, Boston, MA, 02111-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982967105
Provider Name
Nisse Virginia Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02111-1552
Phone Number
617-724-6850
Fax Number
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-6850
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-6850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
265956 (Massachusetts)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
252130 (Massachusetts)
Definition
Definition to come...
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