HomeNPI Verification

NPI Verification

National Provider Identifier: 1609912427

Charles Edward Clark, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

74 MUNSILL AVE

SUITE 100

BRISTOL, VT 054431032

Phone: 802-453-5028

NPI Enumeration Date

January 29, 2007

NPI Number

1609912427

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry