Individual
DR. CHARLES H CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 BLADENSBURG RD NE, WASHINGTON, DC 20002-3930
(202) 396-9480
(202) 396-6506
Mailing address
910 BLADENSBURG RD NE, WASHINGTON, DC 20002-3930
(202) 396-9480
(202) 396-6506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD15603
DC
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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