Susan M Clark
NP | Pediatrics | Female
Susan M Clark, NP is a Vineland, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan M Clark is
1318 S Main Road, Vineland, New Jersey - 08360. She can be contacted on phone at
856-691-8585 and fax number 856-691-8489.
Susan M Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan M Clark is
1609968692 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 28 Dec, 2011.
Susan M Clark license number is
26NN08675900 for Pediatrics (208000000X) in New Jersey.
Susan M 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:
Susan M Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susan M Clark |
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| Credential : | NP |
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| Gender : | Female |
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Business Address:
Susan M 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 : | 1318 S Main Road
Vineland, NJ, 08360
United States |
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| Phone Number : | 856-691-8585 |
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| Fax Number : | 856-691-8489 |
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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 : | 1609968692 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 28 Dec, 2011 |
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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 Susan M Clark are as mentioned. Primary taxonomy code for Susan M Clark, NP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 26NN08675900 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Susan M Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7201206 | MEDICAID | NJ | |
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 : | 1318 S Main Road
Vineland, NJ, 08360
United States |
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| Phone Number : | 856-691-8585 |
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| Fax Number : | 856-691-8489 |
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Business Location:
Patients can refer following map for directions to
Susan M 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.