Individual provider · Type 1 NPI

Nisse Virginia Clark, MD

Gynecology Physician · Boston, MA

NPI number 1982967105 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (617) 724-6850 Map

Mailing address

800 Washington St
Boston, MA 02111-1552

Other practice locations

  • 55 Fruit St # 4, Boston, MA 02114-2621 · (617) 724-6850
  • 800 Washington St, Boston, MA 02111-1552 · (617) 636-5000

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X252130 (MA)
Gynecology Physician Primary 207VG0400X265956 (MA)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1982967105

Nisse Virginia Clark, MD's National Provider Identifier is 1982967105, issued on Jun 21, 2012. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Boston, MA. The record was last updated on Apr 11, 2018.