Individual
BEVERLEY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 EMERSON ST, PISCATAWAY, NJ 08854-4623
(732) 463-2047
Mailing address
5200 EMERSON ST, PISCATAWAY, NJ 08854-4623
(732) 463-2047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
595828
NY
Other
Enumeration date
04/22/2009
Last updated
10/03/2015
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