Organization
EAST ORANGE MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A CLARKE MD (DIRECTOR)
(973) 674-8100
Entity
Organization
Contact information
Practice address
108 S MUNN AVE, EAST ORANGE, NJ 07018-3402
(973) 674-8100
(973) 674-8400
Mailing address
108 S MUNN AVE, EAST ORANGE, NJ 07018-3402
(973) 674-8100
(973) 674-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08005400
NJ
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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