Clark, John Ross
Clark, John Ross is an individual health care provider with primary practice located at 55 Fruit Street Yaw 7B Mass General Hospital, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Clark, John Ross can be contacted via phone (617) 724-4000.Contact Information
Primary practice address
55 Fruit Street Yaw 7B Mass General Hospital
Boston MA 02114-2696
Phone: (617) 724-4000
Fax: (617) 643-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 49154 | Massachusetts |
Profile Details
| NPI number | 1871550244 |
|---|---|
| LBN Legal business name | Clark, John Ross |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jan 16th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871550244 | NPPES |
| Massachusetts | MEDICAID | 6194613 | |
| Massachusetts | Other | J02760 |
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