Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGARDO CLARK
Active Sole ProprietorEDGARDO CLARK is a Bus healthcare provider located in RANDOLPH, Massachusetts. NPI 1063194561 is currently active in the NPPES registry. Verify at CMS.
Bus · RANDOLPH, MA
Registration Details
- NPI Number
- 1063194561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2023 (3.0188880147209 yrs)
- Last Updated
- Aug 3, 2023
- License
-
S37922805 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 HIMOOR CIRRANDOLPH, MA, 023682429Browse MA providers · Browse ZIP 02368
- Phone
- 5082434379
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in RANDOLPH, MA
| Name | Credential | NPI |
|---|---|---|
| MADISON JAMES GOVAN | — | 1639868987 |
| JEAN ANDY AMECIA | — | 1770461774 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.