Edward C. Clark,M.D.,P.A.

LBN: Edward C. Clark,M.D.,P.A.
Edward C. Clark,M.D.,P.A. is an health care organization with primary practice located at 11355 Pembrooke Sq Suite 107, Waldorf MD 20603-4805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Edward C. Clark,M.D.,P.A. can be contacted via phone (301) 843-7711, or through Clark, Edward C via phone (301) 843-7711.

Contact Information

Primary practice address
11355 Pembrooke Sq Suite 107 Waldorf MD 20603-4805
Phone: (301) 843-7711
Fax: (301) 932-9195
Website:
Map and Directions
Authorized official contact:
Name: Clark, Edward C Doctor of Medicine (MD)
Phone: (301) 843-7711

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0017492 Maryland

Profile Details

NPI number 1609876846
LBN Legal business name Edward C. Clark,M.D.,P.A.
DBA Doing business as
Authorized official Clark, Edward C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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