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Individual

DR. CHRISTOPHER DAVID CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(301) 800-7770
(301) 800-7891
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3720
(301) 800-7770
(301) 800-7891

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
208100000X
Physical Medicine & Rehabilitation Physician
25MA09515800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0082490
MD
208100000X
Physical Medicine & Rehabilitation Physician
MD451865
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0460583
NJ
05
9822046
MD
Enumeration date
06/02/2010
Last updated
11/25/2025
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