Individual
MRS. CYNTHIA E CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, RD
Contact information
Practice address
31 BACKLAND RD, SOUTH GLASTONBURY, CT 06073-3127
(585) 414-4722
Mailing address
31 BACKLAND RD, SOUTH GLASTONBURY, CT 06073-3127
(585) 414-4722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
64143
CT
Other
Enumeration date
10/02/2008
Last updated
06/28/2023
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