Individual
PROF. WILLIAM A CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, DABCC
Contact information
Practice address
401 N BROADWAY ST, WEINBERG 2327, BALTIMORE, MD 21287-0019
(410) 502-7692
Mailing address
401 N BROADWAY ST, WEINBERG 2327, BALTIMORE, MD 21287-0019
(410) 502-7692
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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