Individual
ABIGAIL COLLETT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 HADDON AVE FL 6, CAMDEN, NJ 08103-3101
(856) 757-3500
(856) 365-4088
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 757-3500
(856) 365-4088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00684900
NJ
363A00000X
Physician Assistant
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Other
Enumeration date
03/02/2021
Last updated
12/02/2022
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