Seth Clark
Internist Internist - Addiction Medicine
200 Corliss St
Providence
, Rhode Island 02904
Seth Clark
Internist Internist - Addiction Medicine
200 Corliss St
Providence
, Rhode Island 02904
(401) 444-6912
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Seth Clark
- 117 Ellenfield St Ste 101
- Providence, RI
- Zip : 02905-4513
- Fax : (401) 444-6912
- Phone : (401) 444-6779
Second Address
- Seth Clark
- 200 Corliss St
- Providence, RI
- Zip : 02904
- Fax : (401) 606-8549
- Phone : (401) 606-8530
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FAQs
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What is Seth Clark ’s gender?
Is Seth Clark a sole practitioner?
Is Seth Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD15837 | RI |
| N | 111NI0900X | Internist | MD15837 | RI |
| Y | 207RA0401X | Internist - Addiction Medicine | MD15837 | RI |
National Provider Identifier
| NPI | 1801208798 |
|---|---|
| Provider Name | Seth Clark |
| First Address | Providence, RI 02905-4513 |
| Second Address | Providence, RI 02904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2014 |
| Last Update Date | 13/05/2021 |
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.