Clark, Cheryl Renee
Clark, Cheryl Renee is an individual health care provider with primary practice located at 1620 Tremont St Center For Community Health And Health Equity, Roxbury Crossing MA 02120-1613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clark, Cheryl Renee can be contacted via phone (617) 732-5759.Contact Information
Primary practice address
1620 Tremont St Center For Community Health And Health Equity
Roxbury Crossing MA 02120-1613
Phone: (617) 732-5759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 218079 | Massachusetts |
Profile Details
| NPI number | 1881626042 |
|---|---|
| LBN Legal business name | Clark, Cheryl Renee |
| Credentials | MD, M.S., SD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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