Peter Clark, Md, Pc in Groton - Family Medicine
Peter Clark, Md, Pc - NPI 1790970937
Peter Clark, Md, Pc is a Family Medicine in Groton, New York. Peter Clark, Md, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peter Clark, Md, Pc is 1790970937. The last update date is 2007-09-11.
Peter Clark, Md, Pc's current location address is 220 W South St, Groton, New York. You can contact this provider via phone number 6078983341 and fax number 6078983982. The mailing address for Peter Clark, Md, Pc is 220 W South St, Groton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peter Clark, Md, Pc |
|---|---|
| Address | 220 W South St, Groton, New York |
| Phone Number | 6078983341 |
| Fax Number | 6078983982 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Peter |
| Telephone Number | 6078983341 |
NPI Number Detail
| NPI Number | 1790970937 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 220 W South St |
|---|---|
| City | Groton |
| State | New York (NY) |
| Post Code | 130731237 |
| Phone Number | 6078983341 |
| Fax Number | 6078983982 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 181768 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1314507 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Peter Clark, Md, Pc by the Centers for Medicare & Medicaid Services?
The Peter Clark, Md, Pc has been assigned the NPI (National Provider Identifier) 1790970937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Peter Clark, Md, Pc's facilities are geographically located?
The facilities of Peter Clark, Md, Pc are physically situated at the following location: 220 W South St, Groton, NY, 130731237.
What is the Peter Clark, Md, Pc's area of specialization and corresponding taxonomy classification?
The Peter Clark, Md, Pc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1790970937 to Peter Clark, Md, Pc?
The Centers for Medicare & Medicaid Services assigned the 1790970937 to Peter Clark, Md, Pc on 2007-09-11.
When was the Peter Clark, Md, Pc's information last updated?
The Peter Clark, Md, Pc's information was last updated on 2007-09-11.
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