Carolyn A Clark
M.D. | Pediatrics | Female
Carolyn A Clark, M.D. is a Bristol, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carolyn A Clark is
43 Enterprise Dr, Bristol, Connecticut - 06010-7457. She can be contacted on phone at
860-589-5230 and fax number 860-589-5297.
Carolyn A Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Carolyn A Clark is
1699757252 which was assigned by NPPES on 18 Nov, 2005 and it was last updated on 08 Oct, 2015.
Carolyn A Clark license number is
036138 for Pediatrics (208000000X) in Connecticut.
Carolyn A Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carolyn A Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Carolyn A Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Carolyn A Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 43 Enterprise Dr
Bristol, CT, 06010-7457
United States |
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| Phone Number : | 860-589-5230 |
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| Fax Number : | 860-589-5297 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699757252 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Nov, 2005 |
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| Last Updated On : | 08 Oct, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carolyn A Clark are as mentioned. Primary taxonomy code for Carolyn A Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036138 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Carolyn A Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001361386 | MEDICAID | CT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 43 Enterprise Dr
Bristol, CT, 06010-7457
United States |
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| Phone Number : | 860-589-5230 |
|---|
| Fax Number : | 860-589-5297 |
|---|
Business Location:
Patients can refer following map for directions to
Carolyn A Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.