Clark Medical Service Llc

LBN: Clark Medical Service Llc
Clark Medical Service Llc is an health care organization with primary practice located at 135 Bloomfield Ave Ste F , Bloomfield NJ 07003-5902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Clark Medical Service Llc can be contacted via phone (862) 213-0033, or through Abdelshahid, Mounir Y via phone (862) 213-0033.

Contact Information

Primary practice address
135 Bloomfield Ave Ste F Bloomfield NJ 07003-5902
Phone: (862) 213-0033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abdelshahid, Mounir Y
Phone: (862) 213-0033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1710431291
LBN Legal business name Clark Medical Service Llc
DBA Doing business as
Authorized official Abdelshahid, Mounir Y
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710431291 NPPES
New Jersey MEDICAID 0343757

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