NPI 1063194561

Edgardo Clark

Practitioner Non-emergency Medical Transport (VAN) Randolph, MA

Practice location

Address: 24 Himoor Cir, Randolph, MA 02368-2429
Phone: (508) 243-4379

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence S37922805 (MA)

Other Non-emergency Medical Transport (VAN) providers in Massachusetts →

Registry record

NPI: 1063194561
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2023
Record last updated: 3 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.