Search › Massachusetts › 207VG0400X
Nisse Clark, M.D
NPI 1982967105 · on the registry since 2012
Practice
- Address
- 55 Fruit St
Boston, MA 02114 - Phone
- (617) 724-6850
- Organisation at this address
- Mgh
Mgpo
Leanne Miller
Brandon Law, Md
Dennis W Burke Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5,283
Additional practice sites
- 55 Fruit St # 4, Boston, MA
- 800 Washington St, Boston, MA
Registry record
- Primary taxonomy
- 207VG0400X
207VG0400X
- Also registered as
- 207V00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts