Individual
CLARK VAN DEN BERGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 596-2502
(781) 596-3966
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
256393
MA
Other
Enumeration date
07/11/2013
Last updated
07/21/2022
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