Individual
ALISON MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 CENTRAL AVENUE, LEVEL 2, DOVER, NH 03820-2526
(603) 740-2503
(603) 740-2497
Mailing address
789 CENTRAL AVENUE, DOVER, NH 03820-2526
(603) 740-2503
(603) 740-2497
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
11018
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205820248
—
ME
05
—
3075301
—
NH
Enumeration date
09/06/2005
Last updated
02/25/2015
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