Organization
ALAN B. CLARK M.D, P.A.
Active
Parent organization
ALAN B. CLARK
Other names
RUTH L. CLARK
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALAN B. CLARK
Authorized official
DR. ALAN BUTLER CLARK M.D, P.A. (NEUROLOGIST)
(973) 678-5607
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE, SUITE#611, EAST ORANGE, NJ 07018-3332
(973) 678-5607
(973) 678-6319
Mailing address
310 CENTRAL AVE, SUITE#303, EAST ORANGE, NJ 07018-2835
(973) 678-5607
(973) 678-6319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA20681
NJ
282N00000X
General Acute Care Hospital
MA56498
NJ
Other
Enumeration date
10/25/2007
Last updated
03/05/2009
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