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Contact Information

CORI CLARK, DO
11 SHUTTLE RD
FARMINGTON, CT06032-1900
 Phone: 860-679-3980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CORI CLARK · (Female)

NPI Number 1629538798
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/23/2019
Last updated 08/11/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 75730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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