Individual
DR. NANCY ELLEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
25 MULE ROAD, B9, TOMS RIVER, NJ 08755
(732) 966-1285
(732) 240-1441
Mailing address
61 BRETON HARBORS DRIVE, TOMS RIVER, NJ 08753
(973) 632-9135
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N05156
NY
Other
Enumeration date
07/17/2006
Last updated
12/09/2011
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