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1235181140
ROGER P. CLARK
BOSTON, MA
NPI
1235181140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: MA 224283)
Enumeration Date
2006-05-17
Last Update Date
2008-06-18
Business Address
-- ROGER P. CLARK D.O.
1153 CENTRE ST SUITE 4955
BOSTON, MA 02130-3446
Phone number: 617-522-4943
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Mailing Address
-- ROGER P. CLARK D.O.
1153 CENTRE ST SUITE 4955
BOSTON, MA 02130-3446
Phone number: 617-522-4943
Copy
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