Alan B. Clark in East Orange - Addiction Medicine
Alan B. Clark - NPI 1366500712
Alan B. Clark is a Addiction Medicine in East Orange, New Jersey. Alan B. Clark practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Alan B. Clark is 1366500712. The last update date is 2012-08-09.
Alan B. Clark's current location address is 240 Central Ave, East Orange, New Jersey. You can contact this provider via phone number 9736743500 and fax number 9736786319. The mailing address for Alan B. Clark is 240 Central Ave, East Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan B. Clark |
|---|---|
| Address | 240 Central Ave, East Orange, New Jersey |
| Phone Number | 9736743500 |
| Fax Number | 9736786319 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366500712 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 240 Central Ave |
|---|---|
| City | East Orange |
| State | New Jersey (NJ) |
| Post Code | 70183313 |
| Phone Number | 9736743500 |
| Fax Number | 9736786319 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | MA20681 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280330501 | NJ | MEDICAID GROUP | |
| 5069505 | NJ | -- | |
| 135853 | NJ | MEDICARE GROUP |
Post Comment/ Review Below
What is the Alan B. Clark's 1366500712?
The Alan B. Clark's NPI (National Provider Identifier) Number is 1366500712. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alan B. Clark is physically located?
The Alan B. Clark is physically situated at the following address: 240 Central Ave, East Orange, NJ, 70183313.
What is the area of specialization for Alan B. Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alan B. Clark is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.
When was the Alan B. Clark's 1366500712 issued?
The Alan B. Clark's 1366500712 was issued on 2006-12-05.
When was the information pertaining to Alan B. Clark most recently updated or revised?
The details related to Alan B. Clark, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-09.
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