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Contact Information

CYNTHIA E CLARKE, DO, RD
31 BACKLAND RD
SOUTH GLASTONBURY, CT06073-3127
 Phone: 585-414-4722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CYNTHIA E CLARKE · (Female)

NPI # 1750532214
Status Active
Credentials DO, RD
Entity Individual
Enumeration date 10/02/2008
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 64143
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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