Clark, Andrew B.
Clark, Andrew B. is an sole proprietor health care provider with primary practice located at 10 Concord Ave , Cambridge MA 02138-2322. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Clark, Andrew B. can be contacted via phone (801) 960-2138.Contact Information
Primary practice address
10 Concord Ave
Cambridge MA 02138-2322
Phone: (801) 960-2138
Fax: (617) 830-7281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 72153 | Massachusetts |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 72153 | Massachusetts |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 72153 | Massachusetts |
Profile Details
NPI number | 1720056047 |
---|---|
LBN Legal business name | Clark, Andrew B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 11th, 2006 |
Last updated | Dec 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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