Individual
ANDRE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
396 E 19TH ST, PATERSON, NJ 07524-2606
(862) 485-3633
Mailing address
396 E 19TH ST, PATERSON, NJ 07524-2606
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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