Individual provider · Type 1 NPI

Maureen Rose Clark, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1871125187 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 545-5000 Map

Mailing address

225 Frontier Dr
Erie, PA 16505-2505

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4722 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1871125187

Maureen Rose Clark, PA-C's National Provider Identifier is 1871125187, issued on Feb 5, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Feb 5, 2020.