Jay Bradford Clark in Baltimore - Pediatrics
Jay Bradford Clark - NPI 1235255837
Jay Bradford Clark is a Pediatrics in Baltimore, Maryland. Jay Bradford Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jay Bradford Clark is 1235255837. The last update date is 2009-07-17.
Jay Bradford Clark's current location address is 4807 Benson Ave., Baltimore, Maryland. You can contact this provider via phone number 4102428963 and fax number 4102428965. The mailing address for Jay Bradford Clark is 4807 Benson Ave., Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jay Bradford Clark |
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Address | 4807 Benson Ave., Baltimore, Maryland |
Phone Number | 4102428963 |
Fax Number | 4102428965 |
Sole Proprietor | Y |
Credentials | DSCPT, MPT |
NPI Number Detail
NPI Number | 1235255837 |
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Provider Enumeration Date | 2007-03-22 |
Last Updated Date | 2009-07-17 |
Provider Mailing Address Detail
Address | 4807 Benson Ave. |
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City | Baltimore |
State | Maryland (MD) |
Post Code | 212271530 |
Phone Number | 4102428963 |
Fax Number | 4102428965 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 18491 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
20880900 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jay Bradford Clark by the Centers for Medicare & Medicaid Services?
The Jay Bradford Clark has been assigned the NPI (National Provider Identifier) 1235255837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jay Bradford Clark's facilities are geographically located?
The facilities of Jay Bradford Clark are physically situated at the following location: 4807 Benson Ave., Baltimore, MD, 212271530.
What is the Jay Bradford Clark's specialty and taxonomy code?
The Jay Bradford Clark's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235255837 to Jay Bradford Clark?
The Centers for Medicare & Medicaid Services assigned the 1235255837 to Jay Bradford Clark on 2007-03-22.
When was the Jay Bradford Clark's information last updated?
The Jay Bradford Clark's information was last updated on 2009-07-17.