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1124028311
EDWARD C CLARK
WALDORF, MD
NPI
1124028311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MD D0017492)
Enumeration Date
2005-07-28
Last Update Date
2016-08-08
Business Address
-- EDWARD C CLARK M.D.
11355 PEMBROOKE SQ SUITE 107
WALDORF, MD 20603-4805
Phone number: 301-843-7711
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Mailing Address
-- EDWARD C CLARK M.D.
11355 PEMBROOKE SQ SUITE 107
WALDORF, MD 20603-4805
Phone number: 301-843-7711
Copy
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