Organization
CLARK PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DULCE SUAPENGCO SAMONTE M.D. (OWNER)
(732) 574-9444
Entity
Organization
Contact information
Practice address
480 OAK RIDGE RD, CLARK, NJ 07066-2124
(732) 574-9444
Mailing address
480 OAK RIDGE RD, CLARK, NJ 07066-2124
(732) 574-9444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04400000
NJ
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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