MAUREEN P. CLARKE M.D. NPI 1891751855

NPI Information

NPI: 1891751855
Provider Name: MAUREEN P. CLARKE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
133 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 421-1000
Get Directions

Maureen P. Clarke, M.D. is a diagnostic radiology radiology in Boston, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Maureen P. Clarke, M.D. NPI is 1891751855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-1000
Fax: (617) 421-6084

The enumeration date for this NPI number is 4/26/2006 and was last updated on 1/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	48912	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00074198	OTHER	MASSACHUSETTS	P00074198
2	J02335	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
3	1501845-003	OTHER	MASSACHUSETTS	CIGNA
4	1501845-003	OTHER	MASSACHUSETTS	HEALTHSOURCE
5	B74242	MEDICARE UPIN	MASSACHUSETTS
6	0027086	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH
7	048912	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
8	J02335	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
9	6170277	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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