ANDREW CLARK

LAKEWOOD, NJ
NPI1609382670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00783000)
Enumeration Date2017-12-28
Last Update Date2017-12-28
Business Address
ANDREW CLARK CRNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6656
Mailing Address
ANDREW CLARK CRNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: