IndividualActive
Clark Dumontier
NPI 1356760938 · Geriatric Medicine (Internal Medicine) Physician · Boston, MA
Provider details
- NPI number
- 1356760938
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 274719 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 S Huntington Ave
Boston, MA 02130-4817
Phone: (920) 740-2790
Approximate (ZIP-level) locationGet directions
Mailing address
150 S Huntington Ave
Boston, MA 02130-4817
Registry dates
- Enumerated
- 2014-04-10
- Last updated
- 2023-06-09
- Certified
- 2023-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.