DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD C. CLARK,M.D.,P.A.

Active Organization

EDWARD C. CLARK,M.D.,P.A. is a Ophthalmology organization located in WALDORF, Maryland. NPI 1609876846 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · WALDORF, MD

Registration Details

NPI Number
1609876846
Provider Type
Organization
NPI Issued
Jul 29, 2005 (20.864034821816 yrs)
Last Updated
Aug 22, 2020
License
D0017492 (MD)

Practice Information

Address
11355 PEMBROOKE SQ
SUITE 107
WALDORF, MD, 206034805
Browse MD providers · Browse ZIP 20603
Phone
3018437711
Fax
3019329195
Primary Specialty
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.