Individual
DR. JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 GRAND ST, ONDREA CHASSE, MEDICAL STAFF OFFICE, NEW BRITAIN, CT 06052-2016
(860) 224-5305
(860) 224-5950
Mailing address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5510
(860) 224-5950
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
032904
CT
Other
Enumeration date
12/30/2005
Last updated
04/29/2015
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