Rachael A Clark
Dermatologist
111 Cypress St Brigham And Womens Hospital Department Of Dermatology
Brookline
, Massachusetts 02445-6002
Rachael A Clark
Dermatologist
111 Cypress St Brigham And Womens Hospital Department Of Dermatology
Brookline
, Massachusetts 02445-6002
(617) 732-4918
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Rachael A Clark
- 221 Longwood Avenue Brigham And Womens Hospital Department Of Dermatology
- Boston, MA
- Zip : 02115
- Phone : (617) 732-4918
Second Address
- Rachael A Clark
- 111 Cypress St Brigham And Womens Hospital Department Of Dermatology
- Brookline, MA
- Zip : 02445-6002
- Phone : (857) 307-0896
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 213185 | MA |
National Provider Identifier
| NPI | 1053378315 |
|---|---|
| Provider Name | Rachael A Clark |
| First Address | Boston, MA 02115 |
| Second Address | Brookline, MA 02445-6002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2006 |
| Last Update Date | 31/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.