Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREG D CLARK, D.P.M
Active Sole ProprietorDR. GREG D CLARK, D.P.M is a Podiatrist healthcare provider located in SEA GIRT, New Jersey. NPI 1629046289 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SEA GIRT, NJ
Registration Details
- NPI Number
- 1629046289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.46359932025 yrs)
- Last Updated
- Mar 7, 2023
- License
-
25MD00282000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2130 HIGHWAY 35BLDG C STE 312SEA GIRT, NJ, 087501010Browse NJ providers · Browse ZIP 08750
- Phone
- 7329748200
- Fax
- 7329740190
- Primary Specialty
-
Podiatrist
213E00000X
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.