Individual
DR. CHERYL RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, M.S., SD
Contact information
Practice address
1620 TREMONT ST, CENTER FOR COMMUNITY HEALTH AND HEALTH EQUITY, ROXBURY CROSSING, MA 02120-1613
(617) 732-5759
Mailing address
1620 TREMONT ST, CENTER FOR COMMUNITY HEALTH AND HEALTH EQUITY, ROXBURY CROSSING, MA 02120-1613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218079
MA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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