Clarke, Dane E

Clarke, Dane E is an individual health care provider with primary practice located at 530 New Brunswick Ave , Perth Amboy NJ 08861-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clarke, Dane E can be contacted via phone (732) 442-3700.

Contact Information

Primary practice address
530 New Brunswick Ave Perth Amboy NJ 08861-3674
Phone: (732) 442-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA06703000 New Jersey

Profile Details

NPI number 1710988050
LBN Legal business name Clarke, Dane E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 6th, 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 1710988050 NPPES
New Jersey Other 26085 UHP NON-PAR#
New Jersey Other P00603903 UHP NON-PAR#
New Jersey MEDICAID 7502907 UHP NON-PAR#

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