Individual
CLARK DUMONTIER
Active
Individual
CLARK DUMONTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
274719
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
260502
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
274719
MA
Other
Enumeration date
04/10/2014
Last updated
06/09/2023
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