Clark, Elizabeth C

Clark, Elizabeth C is an individual health care provider with primary practice located at 317 George St Rwj University Medical Group, New Brunswick NJ 08901-2008. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Clark, Elizabeth C can be contacted via phone (732) 235-8993.

Contact Information

Primary practice address
317 George St Rwj University Medical Group New Brunswick NJ 08901-2008
Phone: (732) 235-8993
Fax: (732) 246-7317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 25MA08344100 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08344100 New Jersey

Profile Details

NPI number 1558357996
LBN Legal business name Clark, Elizabeth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Apr 11th, 2024 - about 8 months ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1558357996 NPPES
Iowa MEDICAID 0295998
Iowa Other 35128
Iowa MEDICAID 0201120
Iowa Other P00790533

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