Clark, Anthony Michael
Clark, Anthony Michael is an sole proprietor health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Clark, Anthony Michael can be contacted via phone (973) 972-9573.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA11885300 | New Jersey |
Profile Details
NPI number | 1033614250 |
---|---|
LBN Legal business name | Clark, Anthony Michael |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2018 |
Last updated | May 24th, 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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