Nancy Ellen Clark in Toms River - Podiatrist

Nancy Ellen Clark - NPI 1760400071

Nancy Ellen Clark is a Podiatrist in Toms River, New Jersey. Nancy Ellen Clark practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Nancy Ellen Clark is 1760400071. The last update date is 2011-12-09.

Nancy Ellen Clark's current location address is 61 Breton Harbors Drive, Toms River, New Jersey. You can contact this provider via phone number 9736329135. The mailing address for Nancy Ellen Clark is 61 Breton Harbors Drive, Toms River, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Ellen Clark
Address 61 Breton Harbors Drive, Toms River, New Jersey
Phone Number 9736329135
Fax Number
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1760400071
Provider Enumeration Date 2006-07-17
Last Updated Date 2011-12-09

Provider Mailing Address Detail

Address 61 Breton Harbors Drive
City Toms River
State New Jersey (NJ)
Post Code 8753
Phone Number 9736329135
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No N05156
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

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FAQs about Nancy Ellen Clark

What is the unique 10-digit identification code assigned to Nancy Ellen Clark by the Centers for Medicare & Medicaid Services?

The Nancy Ellen Clark has been issued the NPI (National Provider Identifier) 1760400071, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nancy Ellen Clark is located?

The Nancy Ellen Clark is situated at the following address: 61 Breton Harbors Drive, Toms River, NJ, 8753.

What is Nancy Ellen Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nancy Ellen Clark's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Nancy Ellen Clark receive its 1760400071 assignment from the Centers for Medicare & Medicaid Services?

The Nancy Ellen Clark was assigned its 1760400071 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the Nancy Ellen Clark's information last updated?

The Nancy Ellen Clark's information was last updated on 2011-12-09.

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