Brian H Clarke Jr., PA-C
Physician Assistant, Surgical in Hartford, CT. Individual provider (NPI-1).
NPI number1669909677
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1669909677
- Entity type
- Individual (NPI-1)
- Name
- Brian H Clarke Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2017
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
85 Seymour St Ste 919Hartford, CT 06106-5528
Phone 860-696-5533 · Fax 860-522-3951
Mailing address
993 Enfield StEnfield, CT 06082-3644
Phone 860-836-5438
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