Individual
DR. MOLLY ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 WASHINGTON ST, WELLESLEY, MA 02481-1905
(781) 263-0033
(781) 263-9145
Mailing address
30 WASHINGTON ST, WELLESLEY, MA 02481-1905
(781) 263-0033
(781) 263-9145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006921
—
MA
Enumeration date
08/15/2006
Last updated
09/20/2011
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