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DR. MARILYN R. CLARK M.D.
NPI 1164534624
Internal Medicine in Boston, MA

Active since August 31, 2006
30 NORTHAMPTON STREET, BOSTON, MA 02118(617) 433-9601(617) 445-6538 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marilyn R. Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARILYN R. CLARK M.D. (NPI 1164534624) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (44535) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164534624
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARILYN R. CLARKCredential: M.D.
Location Address30 NORTHAMPTON STREETBoston, MA 02118-4010
Mailing Address30 Northampton StreetBoston, MA 02118-4010 · (617) 433-9601 · Fax (617) 445-6538
Phone(617) 433-9601
Fax(617) 445-6538
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 22, 2015
✔ NPI 1164534624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 44535
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 NORTHAMPTON STREET, Boston, MA 02118
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Other Identifiers 3

Medicaid6168213MA
Medicare UPINE78546MA
Medicare ID-Type UnspecifiedM11939MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACIE SELFRIDGE OT
Occupational Therapist
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
MARC EMMERICH M.D.
Internal Medicine
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
DEANNA WILLBUR SUMNER N.P.
Nurse Practitioner (Adult Health)
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
MS. ANN F CASTLE R.N.
Registered Nurse (Psychiatric/Mental Health)
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
ANNE KEARNS PT
Physical Therapist
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
MS. ALEXANDRA COBURN MCCAFFREY N.P.
Nurse Practitioner (Adult Health)
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
VERA BORISOVNA BELITSKY N.P.
Nurse Practitioner (Family)
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601
BOSTON'S COMMUNITY MEDICAL GROUP, INC.
Clinic/Center (Primary Care)
30 NORTHAMPTON STREET
BOSTON, MA 02118
Suffolk County (617) 433-9601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Clark's NPI number?

The NPI number for Marilyn Clark is 1164534624. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Marilyn Clark located?

Marilyn Clark practices at 30 Northampton Street, Boston, MA 02118. The listed phone number is (617) 433-9601.

What is Marilyn Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Marilyn Clark was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.