Individual
JOSHUA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE, FAGAN 3 GENERAL SURGERY, BOSTON, MA 02115-5724
(617) 355-7800
Mailing address
300 LONGWOOD AVE, FAGAN 3 GENERAL SURGERY, BOSTON, MA 02115-5724
(617) 355-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2279414
MA
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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