Individual
PHILIP WILLIE BANKOLE CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4483
(732) 776-4798
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4483
(732) 776-4798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101274669
VA
207R00000X
Internal Medicine Physician
A147483
CA
207R00000X
Internal Medicine Physician
Primary
D0101020
MD
208M00000X
Hospitalist Physician
0101274669
VA
208M00000X
Hospitalist Physician
01089212A
IN
208M00000X
Hospitalist Physician
327639
NY
208M00000X
Hospitalist Physician
A147483
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
09/23/2025
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