Charles Edward Clark in Bristol - Family Medicine
Charles Edward Clark - NPI 1609912427
Charles Edward Clark is a Family Medicine in Bristol, Vermont. Charles Edward Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles Edward Clark is 1609912427. The last update date is 2013-09-26.
Charles Edward Clark's current location address is 74 Munsill Ave, Bristol, Vermont. You can contact this provider via phone number 8024535028. The mailing address for Charles Edward Clark is 74 Munsill Ave, Bristol, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edward Clark |
|---|---|
| Address | 74 Munsill Ave, Bristol, Vermont |
| Phone Number | 8024535028 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609912427 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2013-09-26 |
Provider Mailing Address Detail
| Address | 74 Munsill Ave |
|---|---|
| City | Bristol |
| State | Vermont (VT) |
| Post Code | 54431032 |
| Phone Number | 8024535028 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 420006979 |
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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 |
|---|---|---|---|
| VT5630 | VT | -- |
Post Comment/ Review Below
What is the Charles Edward Clark's unique identification number?
The Charles Edward Clark has been assigned the NPI (National Provider Identifier) Number 1609912427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Charles Edward Clark is located?
The Charles Edward Clark is situated at the following address: 74 Munsill Ave, Bristol, VT, 54431032.
What is Charles Edward Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Edward Clark is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609912427 to Charles Edward Clark?
The Centers for Medicare & Medicaid Services assigned the 1609912427 to Charles Edward Clark on 2007-01-29.
As of what date was the information regarding Charles Edward Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Edward Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-26.