Clark, Mitchell Brent

Clark, Mitchell Brent is an sole proprietor health care provider with primary practice located at 333 Cedar St. Yale Medical School, New Haven CT 06510. 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 / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Clark, Mitchell Brent can be contacted via phone (203) 833-0281.

Contact Information

Primary practice address
333 Cedar St. Yale Medical School New Haven CT 06510
Phone: (203) 833-0281
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 / Gynecologic Oncology 207VX0201X 65152 Connecticut

Profile Details

NPI number 1669817854
LBN Legal business name Clark, Mitchell Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated Apr 9th, 2020 - about 6 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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