Leslie Corcoran Clark in Boston - Adult Health

Leslie Corcoran Clark - NPI 1700938982

Leslie Corcoran Clark is a Adult Health in Boston, Massachusetts. Leslie Corcoran Clark practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Leslie Corcoran Clark is 1700938982. The last update date is 2007-07-08.

Leslie Corcoran Clark's current location address is 55 Fruit Street Mgh, Boston, Massachusetts. You can contact this provider via phone number 6177245110 and fax number 6177245150. The mailing address for Leslie Corcoran Clark is 55 Fruit Street Mgh, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Corcoran Clark
Address 55 Fruit Street Mgh, Boston, Massachusetts
Phone Number 6177245110
Fax Number 6177245150
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1700938982
Provider Enumeration Date 2007-01-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55 Fruit Street Mgh
City Boston
State Massachusetts (MA)
Post Code 2114
Phone Number 6177245110
Fax Number 6177245150

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No 154837
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

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FAQs about Leslie Corcoran Clark

What is the unique identification code assigned to Leslie Corcoran Clark by the Centers for Medicare & Medicaid Services?

The Leslie Corcoran Clark has been issued the NPI (National Provider Identifier) 1700938982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Leslie Corcoran Clark's facilities are situated?

The facilities of Leslie Corcoran Clark are physically located at the following address: 55 Fruit Street Mgh, Boston, MA, 2114.

What is Leslie Corcoran Clark's area of expertise and its corresponding taxonomy classification?

The Leslie Corcoran Clark's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.

When was the Leslie Corcoran Clark's 1700938982 issued?

The Leslie Corcoran Clark's 1700938982 was issued on 2007-01-17.

As of what date were the details related to Leslie Corcoran Clark most recently updated or revised?

The information pertaining to Leslie Corcoran Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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