Colleen Clark
Veterinarian in Princeton, NJ. Individual provider (NPI-1).
NPI number1164852679
StatusActive
Last updated in NPPESNov 19, 2013
Details
- NPI
- 1164852679
- Entity type
- Individual (NPI-1)
- Name
- Colleen Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2013
- Last updated
- Nov 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174M00000X | Veterinarian | 29V100645900 | NJ | Yes |
Practice location
3975 Princeton PikePrinceton, NJ 08540-4739
Phone 609-924-2293
Mailing address
3975 Princeton PikePrinceton, NJ 08540-4739
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