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Organization
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
Active
Organization
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CLARKE M.D. (DIRECTOR)
(732) 765-6317
Entity
Organization
Contact information
Practice address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2605
(732) 807-0800
(732) 922-0805
Mailing address
PO BOX 19597, BELFAST, ME 04915-4090
(713) 580-9491
(713) 358-4868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
10/04/2017
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