Individual
JENNIFER L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 793-6100
(508) 793-6110
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
277023
MA
Other
Enumeration date
03/27/2014
Last updated
11/24/2020
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