Individual
KIRPAL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
(973) 282-0562
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
(973) 282-0562
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60731566
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
02/05/2018
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