IndividualActive
Jennifer Clark, MD
NPI 1619468808 · Diagnostic Radiology Physician · Washington, DC
Provider details
- NPI number
- 1619468808
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD210011897 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3800 Reservoir Rd Nw
Washington, DC 20007-2113
Phone: (585) 489-6449
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Reservoir Rd Nw
Washington, DC 20007-2113
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.