Mark W Clark in Hampton - Cardiovascular Disease
Mark W Clark - NPI 1336107762
Mark W Clark is a Cardiovascular Disease in Hampton, Virginia. Mark W Clark practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mark W Clark is 1336107762. The last update date is 2011-05-05.
Mark W Clark's current location address is 2112 Hartford Rd, Hampton, Virginia. You can contact this provider via phone number 7578277754 and fax number 7578383692. The mailing address for Mark W Clark is 2112 Hartford Rd, Hampton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Clark |
|---|---|
| Address | 2112 Hartford Rd, Hampton, Virginia |
| Phone Number | 7578277754 |
| Fax Number | 7578383692 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336107762 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2011-05-05 |
Provider Mailing Address Detail
| Address | 2112 Hartford Rd |
|---|---|
| City | Hampton |
| State | Virginia (VA) |
| Post Code | 236666601 |
| Phone Number | 7578277754 |
| Fax Number | 7578383692 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 101028804 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336107762 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark W Clark by the Centers for Medicare & Medicaid Services?
The Mark W Clark has been issued the NPI (National Provider Identifier) 1336107762, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark W Clark?
The Mark W Clark is situated at 2112 Hartford Rd, in the city of Hampton, state of VA, with the zip code 236666601.
What is Mark W Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark W Clark is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336107762 to Mark W Clark?
The Mark W Clark received its 1336107762 assignment from the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date was the information regarding Mark W Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark W Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-05.