Organization
MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
Active
Other names
Meridian Medical Group-Specialty Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CLARKE M.D. (DIRECTOR)
(732) 807-0800
Entity
Organization
Contact information
Practice address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0800
(732) 922-0548
Mailing address
PO BOX 95000-7725, PHILADELPHIA, PA 19195-0001
(732) 807-0800
(732) 922-0527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126799
—
NJ
Enumeration date
12/13/2006
Last updated
09/02/2025
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