Individual provider · Type 1 NPI

John-Ross David Rolphe Clarke, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1043744741 Active · reactivated Nov 29, 2017

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-3792 Map

Fax (203) 384-4294

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043744741

John-Ross David Rolphe Clarke, MD's National Provider Identifier is 1043744741, issued on Apr 19, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 29, 2017.