Brian Thomas Clark in Stoneham - Internal Medicine

Brian Thomas Clark - NPI 1114193612

Brian Thomas Clark is a Internal Medicine in Stoneham, Massachusetts. Brian Thomas Clark practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brian Thomas Clark is 1114193612. The last update date is 2016-01-05.

Brian Thomas Clark's current location address is 51 Montvale Ave, Stoneham, Massachusetts. You can contact this provider via phone number 7812135200 and fax number 7814819016. The mailing address for Brian Thomas Clark is 51 Montvale Ave, Stoneham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Thomas Clark
Address 51 Montvale Ave, Stoneham, Massachusetts
Phone Number 7812135200
Fax Number 7814819016
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114193612
Provider Enumeration Date 2008-05-05
Last Updated Date 2016-01-05

Provider Mailing Address Detail

Address 51 Montvale Ave
City Stoneham
State Massachusetts (MA)
Post Code 21802417
Phone Number 7812135200
Fax Number 7814819016

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 49635
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Brian Thomas Clark

What is the unique provider identifier assigned to Brian Thomas Clark?

The Brian Thomas Clark has been issued the NPI (National Provider Identifier) 1114193612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Brian Thomas Clark is physically located?

The Brian Thomas Clark is physically situated at the following address: 51 Montvale Ave, Stoneham, MA, 21802417.

What is Brian Thomas Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Thomas Clark is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did Brian Thomas Clark receive its 1114193612 assignment from the Centers for Medicare & Medicaid Services?

The Brian Thomas Clark was assigned its 1114193612 on 2008-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Brian Thomas Clark most recently updated or refreshed?

The details pertaining to the Brian Thomas Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-05.

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