Individual
MICHAELA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 POND PARK RD STE 102, HINGHAM, MA 02043-4354
(781) 337-5555
Mailing address
506 E BROADWAY APT 4, BOSTON, MA 02127-4427
(617) 980-8994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
03/16/2022
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