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Search › Massachusetts › 1223P0221X

Charles Clark

NPI 1346133287 · on the registry since 2025 · sole proprietor

Practice

Address
20 Maverick Sq
East Boston, MA 02128
Phone
(617) 568-4464
Organisation at this address
Neighborhealth Corporation
Boston Medical Center Corporation
Maverick Specialty Retail Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts