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1053752675
CLARK VAN DEN BERGHE
LYNN, MA
NPI
1053752675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 256393)
Enumeration Date
2013-07-11
Last Update Date
2022-07-21
Business Address
-- CLARK VAN DEN BERGHE MD
269 UNION ST
LYNN, MA 01901-1314
Phone number: 781-596-2502
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Mailing Address
-- CLARK VAN DEN BERGHE MD
269 UNION ST
LYNN, MA 01901-1314
Phone number: 781-581-3900
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