Individual
MS. CORINNE MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 SPRINGS ROAD, BEDFORD, MA 01730
(781) 983-2422
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 983-2422
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
128568MA
MA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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