Individual
DR. ELIZABETH C CLARK
Active
Individual
DR. ELIZABETH C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
8987
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008987
TUFTS HEALTH PLAN
MA
01
—
0109211YONH01
ANTHEM BCBS NH
NH
05
—
80002773
—
NH
Enumeration date
04/03/2006
Last updated
05/18/2009
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