Jeffrey William Clark in Boston - Medical Oncology

Jeffrey William Clark - NPI 1710951751

Jeffrey William Clark is a Medical Oncology in Boston, Massachusetts. Jeffrey William Clark practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Jeffrey William Clark is 1710951751. The last update date is 2007-07-08.

Jeffrey William Clark's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177244000 and fax number 6177260452. The mailing address for Jeffrey William Clark is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey William Clark
Address 55 Fruit St, Boston, Massachusetts
Phone Number 6177244000
Fax Number 6177260452
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1710951751
Provider Enumeration Date 2006-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Fruit St
City Boston
State Massachusetts (MA)
Post Code 2114
Phone Number 6177244000
Fax Number 6177260452

Provider's Primary Taxonomy Detail

Speciality Medical Oncology
Taxonomy 207Rx0202X
Licence No 80647
Definition:
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J31098 MA BCBS MA
3135420 MA --
80647 MA TUFTS HEALTH PLAN

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FAQs about Jeffrey William Clark

What is the Jeffrey William Clark's 1710951751?

The Jeffrey William Clark's NPI (National Provider Identifier) Number is 1710951751. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey William Clark is physically located?

The Jeffrey William Clark is situated at the following address: 55 Fruit St, Boston, MA 2114.

What is Jeffrey William Clark's area of expertise and its corresponding taxonomy classification?

The Jeffrey William Clark's field of specialization is Medical Oncology, and it falls under the taxonomy code 207Rx0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710951751 to Jeffrey William Clark?

The Centers for Medicare & Medicaid Services originally issued the 1710951751 to Jeffrey William Clark on 2006-02-15.

As of what date were the Jeffrey William Clark's details last updated?

The information pertaining to the Jeffrey William Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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