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Individual

BRIAN H CLARKE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
85 SEYMOUR ST STE 919, HARTFORD, CT 06106-5528
(860) 696-5533
(860) 522-3951
Mailing address
993 ENFIELD ST, ENFIELD, CT 06082-3644
(860) 836-5438

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
05/22/2017
Last updated
11/18/2022
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