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Search › Connecticut › 101YP2500X

Matthew Clark

NPI 1417353996 · on the registry since 2014 · sole proprietor

Practice

Address
360 Bloomfield Ave
Ste 301
Windsor, CT 06095
Phone
(860) 607-3235
Fax
(860) 607-3201
Organisation at this address
Lexani Llc
Neurotech, Llc
Cardiac Rms Inc
Next Step Up Corp
Pawsitive Support
Inferred from a shared address, not stated in the registry.
Clinicians at this address
394

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-05

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 Connecticut