Individual
CHRISTIAN ALEXANDER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 AMBOY AVE, EDISON, NJ 08837-2870
(732) 587-5339
Mailing address
515 S 1ST AVE APT 5, HIGHLAND PARK, NJ 08904-2157
(240) 817-7676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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