Clark, Bernard A

Clark, Bernard A is an individual health care provider with primary practice located at 114 Woodland St Cardiology, Hartford CT 06105-1208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Clark, Bernard A can be contacted via phone (860) 714-4161.

Contact Information

Primary practice address
114 Woodland St Cardiology Hartford CT 06105-1208
Phone: (860) 714-4161
Fax: (860) 714-8001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 024602 Connecticut

Profile Details

NPI number 1407858848
LBN Legal business name Clark, Bernard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407858848 NPPES
Connecticut MEDICAID 001246025

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