National Provider Identifier Database

GREG D CLARK, D.P.M – NPI #1629046289
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

GREG D CLARK, D.P.M
2130 HIGHWAY 35
BLDG C STE 312
SEA GIRT, NJ08750-1010
Phone: 732-974-8200
Fax: 732-974-0190
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for GREG D CLARK

NPI Number 1629046289
Credentials D.P.M
Entity Individual
Enumeration date 03/09/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MD00282000
  • NJ Other: D08685300 CDS
  • NJ Other: 25MD00282000 LICENSE
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.

Reviews for GREG D CLARK, D.P.M

There are currently no reviews for GREG D CLARK, D.P.M


NPIdb - Home
v2.201