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Individual

DR. JEFFREY WILLIAM CLARK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, HEMATOLOGY ONCOLOGY YAW 7, BOSTON, MA 02114
(617) 724-4000
(617) 726-0452
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80647
MA
207RX0202X
Medical Oncology Physician
Primary
80647
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080647
TUFTS HEALTH PLAN
MA
05
3135420
MA
01
J31098
BCBS MA
MA
Enumeration date
02/15/2006
Last updated
02/03/2026
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