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Contact Information

ELANA T CLARK, MD
74 PASCACK RD
PARK RIDGE, NJ07656
 Phone: 201-326-7120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ELANA T CLARK · (Female)

NPI # 1043637184
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2014
Last updated 11/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10092600
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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