Clark, Jeffrey William

Clark, Jeffrey William is an individual health care provider with primary practice located at 55 Fruit St Hematology Oncology Yaw 7, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Clark, Jeffrey William can be contacted via phone (617) 724-4000.

Contact Information

Primary practice address
55 Fruit St Hematology Oncology Yaw 7 Boston MA 02114
Phone: (617) 724-4000
Fax: (617) 726-0452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80647 Massachusetts
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 80647 Massachusetts

Profile Details

NPI number 1710951751
LBN Legal business name Clark, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710951751 NPPES
Massachusetts Other J31098 BCBS MA
Massachusetts MEDICAID 3135420 BCBS MA
Massachusetts Other 080647 BCBS MA

Popular Providers