Organization
MIRIAM CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM CLARK FNP, RN (FAMILY NURSE PRACTITIONER)
(781) 235-3182
Entity
Organization
Contact information
Practice address
35 CHESTERTON RD, WELLESLEY, MA 02481-1106
(781) 235-3182
Mailing address
35 CHESTERTON RD, WELLESLEY, MA 02481-1106
(781) 235-3182
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN2284844
MA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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