Individual provider · Type 1 NPI
Jeanne M. Clark, MD
Diagnostic Radiology Physician · Baltimore, MD
NPI number
1780636688
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64264
Baltimore, MD 21264-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | D52126 (MD) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 25MA08297800 (NJ) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1780636688
Jeanne M. Clark, MD's National Provider Identifier is 1780636688, issued on May 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Baltimore, MD. The record was last updated on May 14, 2025.