Clark, Anthony Michael

Clark, Anthony Michael is an sole proprietor health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Clark, Anthony Michael can be contacted via phone (973) 972-9573.

Contact Information

Primary practice address
150 Bergen St Newark NJ 07103-2496
Phone: (973) 972-9573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA11885300 New Jersey

Profile Details

NPI number 1033614250
LBN Legal business name Clark, Anthony Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2018
Last updated May 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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