National Provider Identifier Database

SUSAN M CLARK, NP – NPI #1609968692
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SUSAN M CLARK, NP
1318 S MAIN ROAD
VINELAND, NJ08360
Phone: 856-691-8585
Fax: 856-691-8489
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUSAN M CLARK

NPI Number 1609968692
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/28/2006
Last updated 12/28/2011 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 26NN08675900
  • NJ Medicaid: 7201206
Hospital affiliation n/a

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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