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

PETER CLARK

Deactivated

PETER CLARK is a Contractor healthcare provider located in RYE BEACH, New Hampshire. NPI 1679575385 is deactivated in the NPPES registry. Verify at CMS.

Contractor · RYE BEACH, NH

This NPI has been deactivated. The record was deactivated on March 22, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1679575385
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2005 (0.60821917808219 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 22, 2006
License
02894 (NH)

Practice Information

Address
785 CENTRAL RD
RYE BEACH, NH, 038719005
Browse NH providers · Browse ZIP 03871
Phone
6039647740
Fax
6039647783
Primary Specialty
Contractor
171W00000X
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.