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Search › Massachusetts › 133V00000X

Tyler Clark, R.D

NPI 1639492523 · on the registry since 2010 · sole proprietor

Practice

Address
940 Belmont St
Food And Nutrition Services
Brockton, MA 02301
Phone
(774) 826-1439
Organisation at this address
Boston Vamc
Boston Vamc
Boston Va Hospital
Bostonva Health Care System
Boston Va Healthcare System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
461

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-06

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