Organization
ASPIRE FAMILY MEDICINE &WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A CLARK M.D (PHYSICIAN/OWNER)
(203) 269-9778
Entity
Organization
Contact information
Practice address
850 N MAIN STREET EXT, BLDG 2 SUITE C2, WALLINGFORD, CT 06492-2400
(203) 269-9778
(203) 949-1544
Mailing address
850 N MAIN STREET EXT, BLDG 2 SUITE C2, WALLINGFORD, CT 06492-2400
(203) 269-9778
(203) 949-1544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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