Individual
BRIAN THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 MONTVALE AVE, STONEHAM, MA 02180-2417
(781) 213-5200
(781) 481-9016
Mailing address
51 MONTVALE AVE, STONEHAM, MA 02180-2417
(781) 213-5200
(781) 481-9016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49635
CT
207RG0100X
Gastroenterology Physician
Primary
262160
MA
Other
Enumeration date
05/05/2008
Last updated
01/05/2016
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