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Individual
SUBHA T CLARKE
Active
Individual
SUBHA T CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126373
—
MA
01
—
110230135
RR MEDICARE
—
01
—
1294015
FALLON COMMUNITY HEALTH P
—
01
—
208627
TUFTS COMMUNITY HEALTH PL
—
01
—
4487076
HEALTHSOURCE CMHC
—
01
—
691800
HARVARD PILGRIM
—
01
—
983993
NETWORK HEALTH
—
01
—
B10496101
CIGNA
—
01
—
J23473
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/19/2006
Last updated
02/11/2010
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