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Contact Information

JENNIFER H CLARK, MD
6934 AVIATION BLVD STE B
MDICS
GLEN BURNIE, MD21061
 Phone: 443-949-0814
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNIFER H CLARK · (Female)

NPI Number 1770707598
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2007
Last updated 08/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D71155
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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