Connor Clark

Physician Assistant · Summit, NJ

Individual Active NPI

NPI number 1447802939

Practice location

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone
(908) 522-2000

Open in Google Maps

NPI record

NPI
1447802939
Entity type
Individual (Type 1)
Enumeration date
July 15, 2019
Last updated
August 6, 2021
Certified
August 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 25MP00630600 NJ

Mailing address

10 Price Ct
Denville, NJ 07834-2176

About Connor Clark

Connor Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 99 Beauvoir Ave, Summit, NJ 07901-3533. The NPI number 1447802939 was assigned on July 15, 2019 and the record was last updated on August 6, 2021.

Connor Clark lists a license in the registry: #25MP00630600 (NJ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connor Clark?

The NPI number is 1447802939.

What is the phone number of Connor Clark?

The phone number listed for the practice location is (908) 522-2000.

Where is Connor Clark located?

99 Beauvoir Ave, Summit, NJ 07901-3533.

What is the taxonomy code for Connor Clark?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Summit

All Physician Assistant providers in Summit, NJ →