Clark, Megan

Clark, Megan is an individual health care provider with primary practice located at 3 Cooper Plz Suite 411, Camden NJ 08103-1438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Clark, Megan can be contacted via phone (856) 342-3113.

Contact Information

Primary practice address
3 Cooper Plz Suite 411 Camden NJ 08103-1438
Phone: (856) 342-3113
Fax: (856) 968-8388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MP00256500 New Jersey

Profile Details

NPI number 1326336603
LBN Legal business name Clark, Megan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Mar 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326336603 NPPES
New Jersey Other MP00256500 STATE LICENSE

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