Most Relevant Information
Provider Data
| NPI Number: | 1003078171 |
| Provider Name: | ALEXANDERA K CLARKE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 012576 |
Most Important Dates
| Enumeration Date: | 06/30/2008 |
| Last Updated: | 05/29/2019 |
Provider Practice Location
420 FRONT STREET
ELMER
NJ
083182177
Practice Location Phone/Fax
| Phone: | 8563581500 |
| Fax: | 8563581117 |
Provider Mailing Location
5 COLUMBUS CIRCLE
FL 8
NEW YORK
NY
100191412
Provider Mailing Phone/Fax
| Phone: | 2126649323 |
| Fax: | 2126649341 |