Individual provider · Type 1 NPI

Christian Alexander Clark

Student in an Organized Health Care Education/Training Program · Edison, NJ

NPI number 1083324099 Active

Practice location

1036 Amboy Ave
Edison, NJ 08837-2870

Call (732) 587-5339 Map

Mailing address

515 S 1st Ave Apt 5
Highland Park, NJ 08904-2157

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 1083324099

Christian Alexander Clark's National Provider Identifier is 1083324099, issued on Nov 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edison, NJ. The record was last updated on Nov 30, 2022.