Individual
DANIEL H CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 MEDICAL PARK DR, SUITE 4, SILVER SPRING, MD 20902-4054
(301) 681-4422
(301) 681-1684
Mailing address
PO BOX 418837, BOSTON, MA 02241-8837
(888) 846-5527
(607) 324-2369
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
0101046018
VA
2085R0203X
Therapeutic Radiology Physician
Primary
D0063803
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037461100
—
DC
01
—
1172517
AETNA HMO
MD
01
—
158895
PHCS
MD
01
—
1620115
CIGNA
MD
05
—
219441401
—
MD
01
—
2906-0016
CAREFIRST BC/BS
DC
01
—
296135
AMERIGROUP
MD
01
—
4230117
AETNA PPO
MD
01
—
4828
ELDER HEALTH
MD
01
—
503862
NATIONAL CAPITOL PPO
MD
01
—
60332702
CAREFIRST BC/BS
MD
Enumeration date
04/14/2006
Last updated
04/18/2012
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